| convenio | data_pagamento | numero_protocolo | matricula | nome | numero_guia | ng_prest | senha_guia | codigo_produto | descricao_produto | valor_apresentado | valor_pago | valor_glosa | descricao_motivo | codigo_motivo |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3220 | 0.2780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3220 | 0.2780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6100 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3500 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3465 | 0.5935 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0400 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2900 | 4.2870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2900 | 4.2870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 55223 | Pirimetamina 25mg - Cpr | 0.2000 | 0.1640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 55223 | Pirimetamina 25mg - Cpr | 0.2000 | 0.1640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3370 | 0.4330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3370 | 0.4330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 2.9730 | 0.4270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 118.2700 | 103.4970 | 14.7730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 02204 | SUPOSITORIO GLICERINA ADULTO SP VR UN | 0.8200 | 0.7600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 02204 | SUPOSITORIO GLICERINA ADULTO SP VR UN | 0.8200 | 0.7600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 02204 | SUPOSITORIO GLICERINA ADULTO SP VR UN | 0.8200 | 0.7600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 5.7900 | 5.7865 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 9.3583 | 1.0217 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54653 | DERSANI LC TP ML | 19.4000 | 9.7000 | 9.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35522 | POLIMIXINA B 500.000 UI PO IM IT IV FA | 162.4800 | 104.5700 | 57.9100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35522 | POLIMIXINA B 500.000 UI PO IM IT IV FA | 389.9500 | 250.9600 | 138.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1940 | 0.0660 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0230 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.3012 | 0.0088 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9800 | 4.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9800 | 4.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9700 | 4.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9700 | 4.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 6.3000 | 5.5500 | 0.7500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2680 | 0.0220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 2.1600 | 1.9200 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 2.1600 | 1.9200 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 18.0000 | 16.5000 | 1.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2530 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5060 | 0.0940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8330 | 0.1670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3760 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.0410 | 0.6290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.2740 | 0.3260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5030 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8453 | 0.6047 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4840 | 0.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4840 | 0.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2573 | 0.0727 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 32050038 | RX Tórax: P. A. | 15.7500 | 12.6020 | 3.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.4596 | 2.1504 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2573 | 0.0727 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8453 | 0.6047 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0230 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1320 | 0.1980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0290 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 3.1800 | 2.1178 | 1.0622 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6240 | 0.3760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1360 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5060 | 0.0940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 18.0000 | 16.5000 | 1.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 18.0000 | 16.5000 | 1.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 18.0000 | 16.5000 | 1.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0958 | 0.2742 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 25.2000 | 22.2300 | 2.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 6.3000 | 5.5500 | 0.7500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9800 | 4.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9800 | 4.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0230 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3810 | 0.1290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7860 | 0.2140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11821809845 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0268 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11821809845 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.3540 | -0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2532 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1431 | 0.1169 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1431 | 0.1169 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2861 | 0.2239 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11872109044 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11872109044 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2688 | -0.0088 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5376 | -0.0276 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52830 | Agua Bidestilada 1000ml | 8.9000 | 8.9000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52830 | Agua Bidestilada 1000ml | 8.9000 | 8.9000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 1.4060 | -1.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 1.4060 | -1.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 1.4060 | -1.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7622 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 3ddbe0467197d67f2d3f7c602514920e | NILZA | NULL | NULL | 11887585741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00031 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00031 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 01716 | ISOSSORBIDA 10 MG/ML 1 ML SI IC IV AP | 12.1200 | 12.1200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3920 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 01102 | SONDA FOLEY 2 VIAS N 16 UN | 3.8200 | 3.8200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54555 | AEROLIN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54555 | AEROLIN | 1.9900 | 1.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54555 | AEROLIN | 1.9900 | 1.9840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 1.0300 | 1.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 1.0300 | 1.0250 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.4327 | -0.0527 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.5800 | 0.6490 | -0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 1.3500 | 1.5144 | -0.1644 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1026 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 2.6550 | -2.3050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51379 | SERINGA DESC 05 ML UN | 0.5800 | 0.9226 | -0.3426 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1984 | 0.0616 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6420 | 0.3580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.0700 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4038 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0268 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2731 | -0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1792 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.5300 | 0.5374 | -0.0074 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3000 | 0.2900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4488 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.4487 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 51379 | SERINGA DESC 05 ML UN | 0.5800 | 0.5045 | 0.0755 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2540 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 1.5300 | 1.5151 | 0.0149 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9825 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.5800 | 0.6490 | -0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.8300 | 0.8300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54555 | AEROLIN | 1.9900 | 1.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54555 | AEROLIN | 1.9900 | 1.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54555 | AEROLIN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 9.4700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 01716 | ISOSSORBIDA 10 MG/ML 1 ML SI IC IV AP | 4.0400 | 4.0344 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d8275d7e1b4720d2b25cb8765ee329eb | RICARDO | NULL | NULL | 11829312948 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3022 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00031 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00031 | AGULHA DESC 13 X 45 UN | 0.3800 | 0.3800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9980 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7626 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 5.1000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52830 | Agua Bidestilada 1000ml | 8.9000 | 8.9000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e059645a816c79f801859032d54334d6 | MARIA | NULL | NULL | 11653454440 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2688 | -0.0088 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2768 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.1693 | 0.6307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11872109044 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810846546 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1431 | 0.1169 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3286 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0268 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6640 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5961 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | d2e0dc66ea7a42c61164beb58eda5587 | REGINALDO | NULL | NULL | 11860127916 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030338 | 02956e43f656c90a124516e4608ae71c | MARCIA | NULL | NULL | 11817909325 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 11.5710 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 52403 | MORFINA 1 MG/ML 2 ML SI IM IT IV PE AP | 3.9900 | 1.9900 | 2.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 52403 | MORFINA 1 MG/ML 2 ML SI IM IT IV PE AP | 3.9900 | 2.0000 | 1.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0589 | 0.5311 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 166.9000 | 166.8985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.0129 | 0.7571 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.0129 | 0.7571 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6900 | 0.3100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.0990 | 0.9610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2800 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2900 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2900 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 85.8800 | 84.8660 | 1.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 59.4500 | 58.7480 | 0.7020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.2200 | 0.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1500 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.1800 | 1.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.1800 | 1.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.0900 | 0.5100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0400 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 01656 | DIAZEPAM 5 MG/ML 2 ML SI IM IV AP | 0.3900 | 0.3600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2600 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2600 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5143 | 0.4457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5143 | 0.4457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2571 | 0.2229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6230 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52403 | MORFINA 1 MG/ML 2 ML SI IM IT IV PE AP | 3.9900 | 3.7799 | 0.2101 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52403 | MORFINA 1 MG/ML 2 ML SI IM IT IV PE AP | 3.9900 | 3.7799 | 0.2101 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5064 | 0.4336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6494 | 0.1606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6494 | 0.1606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1240 | 0.1360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1260 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.4380 | 0.4620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1460 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1460 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1460 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0900 | 0.0430 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.2746 | 1.2754 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8000 | 0.3190 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1590 | 0.2410 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 9.0600 | 6.9700 | 2.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 00090 | SERINGA DESC 20 ML UN | 1.4900 | 1.3738 | 0.1162 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 00090 | SERINGA DESC 20 ML UN | 0.9900 | 0.9128 | 0.0772 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.0900 | 1.0864 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 1.6959 | 0.0041 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 68.0600 | 5.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8500 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3570 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3570 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3570 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1295 | 0.1305 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1297 | 0.1303 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7684 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6734 | 0.3266 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1054 | 0.2946 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1054 | 0.2946 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4100 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2100 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2562 | 0.0638 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00238 | ATADURA CREPOM 15 CM UN | 1.1700 | 1.1656 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00090 | SERINGA DESC 20 ML UN | 3.7700 | 3.7600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 66.7300 | 6.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4380 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4380 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4380 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.1100 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5617 | 0.1383 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5617 | 0.1383 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.2707 | 0.3193 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2794 | 0.2306 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1424 | 0.1176 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1424 | 0.1176 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 52395 | seringa desc. 10 ml | 0.6700 | 0.6031 | 0.0669 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2970 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2970 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2970 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00238 | ATADURA CREPOM 15 CM UN | 2.3300 | 1.7092 | 0.6208 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51590 | ABAIXADOR DE LINGUA UN | 0.0800 | 0.0762 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0476 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0476 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0294 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 140.4000 | 136.7000 | 3.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 75.9700 | 50.6422 | 25.3278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 25.3244 | 12.6656 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.7900 | 6.5270 | 0.2630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.9890 | 0.2010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2680 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2780 | 0.1220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 38.4000 | 32.7300 | 5.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.4566 | 1.0934 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.4566 | 1.0934 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.4572 | 1.0928 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9002 | 0.0998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1400 | 0.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6327 | 0.3673 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1251 | 0.1349 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 21245 | TIAMAZOL 5 MG CP VO UN | 0.1700 | 0.1663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 22764 | LIDOCAINA PESADA (LIDOCAINA 5,0% + | 0.0000 | 4.3468 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843140610 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | fe86b428261f7f2637f9a158bb508730 | DORACI | NULL | NULL | 11896692212 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | d0d2858c9ebba715016ad28db795129b | MARIA | NULL | NULL | 11829015110 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11871555410 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | d800b2ab4aa81b1e6c652445558aa677 | IRENE | NULL | NULL | 11839780710 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 6b564862da2359d0a19dbb1fc463ec7d | NORBERTO | NULL | NULL | 11840001416 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 128512d3a87e3e4cf5c82ad1f04ef939 | CLEIDE | NULL | NULL | 11829603014 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 25388cc963a16f3466472bc2680d429f | HUGO | NULL | NULL | 11855960314 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839630919 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | f01e5ebd9daf6c345b3a3a5eadbe5851 | JULIANA | NULL | NULL | 11880721313 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 71e611a03fab95e3abcb91a86617ab44 | MARIA | NULL | NULL | 11867867116 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 5b74a99a7082d582d01dfaa7340b71b4 | LUDMILA | NULL | NULL | 11814650715 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 3caa9f7cef78ee065eea45321f342afa | WANDYANA | NULL | NULL | 11877004116 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 19917 | SONDA NASOGASTRICA LONGA Nş 18 UN | 0.0000 | 1.0889 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00125 | LUVA CIRURGICA UN | 2.9000 | 2.0490 | 0.8510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2475 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864650230 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9645251a3636956acc690592c2f960f1 | LEVINDO | NULL | NULL | 11726008030 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 18333 | ALFENTANILA 0,544 MG/ML 5 ML SI IV | 0.0000 | 6.3773 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 11.5176 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11808889232 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11808889232 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6dd04c2da28ee38ae6e8ba6af8296ef | MARIA | NULL | NULL | 11591043232 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.3068 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6dd04c2da28ee38ae6e8ba6af8296ef | MARIA | NULL | NULL | 11591043232 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 4.2480 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 23280 | FIO POLYCOT 2.0 S/ AGULHA SPA44T UN | 0.0000 | 5.0976 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 11.8766 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 19178 | SERINGA DESC 60 ML UN | 0.0000 | 10.3762 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 19445 | CLORETO DE POTASSIO 600 MG CA VO U | 0.0000 | 0.4875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.7980 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 01929 | ATROPINA 0,50 MG SI IV AP | 0.0000 | 1.2978 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11843550832 | 01899 | AMIODARONA 50 MG/ML 3ML SI IV AP | 0.0000 | 4.3896 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1088 | 0.1512 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2270 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6140 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3600 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3000 | 0.9200 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8930 | 2.8970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7250 | 0.0850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3580 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 337.4100 | 26.8717 | 310.5383 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.3600 | 0.3403 | 1.0197 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.1701 | 0.5099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 10.6907 | 1.1893 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4154 | 0.3546 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4154 | 0.3546 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3509 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00098 | ABOCATH N 14 A 22 UN | 3.4700 | 2.3128 | 1.1572 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.6000 | 0.4020 | 0.1980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.9200 | 0.5613 | 0.3587 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4900 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4900 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.4600 | 1.3006 | 0.1594 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.4600 | 1.3006 | 0.1594 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1240 | 0.1160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1333 | 0.0567 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0290 | 0.0510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 12880 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN | 27.0800 | 20.2789 | 6.8011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1730 | 0.0170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6195 | 0.0505 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.1400 | 0.4600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54687 | IODOPOVIDONA SD TP ML | 0.2000 | 0.0500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54687 | IODOPOVIDONA SD TP ML | 0.2000 | 0.0500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54653 | DERSANI LC TP ML | 19.4000 | 14.5500 | 4.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54653 | DERSANI LC TP ML | 9.7000 | 7.2700 | 2.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54653 | DERSANI LC TP ML | 9.7000 | 7.2800 | 2.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51584 | ESPARADRAPO MICROPORE | 1.0200 | 0.7720 | 0.2480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6230 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.5000 | 1.3740 | 0.1260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0990 | 0.1010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0990 | 0.1010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5490 | 0.0510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5490 | 0.0510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.3800 | 0.3641 | 0.0159 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.9200 | 0.5025 | 0.4175 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.9200 | 0.5026 | 0.4174 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1180 | 0.1220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11838328642 | 999999 | INSUMOS 40080200 | 1777.2500 | 1147.0700 | 630.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11838328642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11838328642 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5820 | 0.4180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5820 | 0.4180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4088 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4088 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 00557 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.6656 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5780 | 0.0920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 40.5568 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 0.0000 | 16.1771 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 10634 | GLICOSE 50% 20 ML SI IV AP | 0.0000 | 2.1356 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 33010358 | DOPPLER COLORIDO DE TRES OU MAIS VA | 0.0000 | 416.7570 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 00485 | AGUA BIDESTILADA 500 ML SI IM IV | 0.0000 | 6.4269 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 95d89bcfe80dc36072ad224970c015ec | JANETE | NULL | NULL | 11870570331 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2e7873e3e1a70aa7debf49ee5c2c7f27 | IZABEL | NULL | NULL | 11802066237 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 01929 | ATROPINA 0,50 MG SI IV AP | 0.0000 | 1.9467 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 85deaf02df0c2e477b92eab40e5585a2 | ISAURA | NULL | NULL | 11772106738 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 85deaf02df0c2e477b92eab40e5585a2 | ISAURA | NULL | NULL | 11772106738 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 85deaf02df0c2e477b92eab40e5585a2 | ISAURA | NULL | NULL | 11772106738 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836634 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836634 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11810539330 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11810539330 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11810539330 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843704830 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843704830 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11871758430 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11871758430 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11871758430 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3cec382940cde814366b829f5156e807 | DULCINEA | NULL | NULL | 11860769839 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.5120 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0900 | 0.0460 | 0.0440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0589 | 0.5311 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00098 | ABOCATH N 14 A 22 UN | 7.5300 | 1.5052 | 6.0248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 0.7536 | 3.0164 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00125 | LUVA CIRURGICA UN | 2.9000 | 1.9300 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2520 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2520 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0885 | 3.3215 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0885 | 3.3215 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0885 | 3.3215 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1283 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.1500 | 3.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.1500 | 3.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1601 | 0.1599 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1603 | 0.1597 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4710 | 0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4710 | 0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8856 | 0.5644 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8856 | 0.5644 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.2949 | 0.5251 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2860 | 0.2240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1460 | 0.1140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00117 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS UN | 16.4000 | 16.3968 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00117 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS UN | 16.4000 | 16.3972 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 12.9400 | 12.9353 | 0.0047 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6067 | 0.2033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00069 | SERINGA DESC 10 ML UN | 1.3300 | 0.9955 | 0.3345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 2.8020 | 0.5280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8410 | 0.1590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8410 | 0.1590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 0.0000 | 1.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.0000 | 0.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.0000 | 0.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 37831 | NEURONTIN 300MG 30 CP | 1.4700 | 0.0000 | 1.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.0000 | 0.5100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0000 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.0000 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.0000 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5748 | 0.2352 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2838 | 0.1162 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2838 | 0.1162 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6840 | 0.0860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4540 | 0.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9274 | 0.0726 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9274 | 0.0726 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3060 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3060 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3060 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3060 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fee4258fac7a95841c7e070ca0661700 | ANTONIO | NULL | NULL | 11772447639 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fee4258fac7a95841c7e070ca0661700 | ANTONIO | NULL | NULL | 11772447639 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5988 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6ccdd1d4b5d3b7769bf0664e7ef09371 | WALISON | NULL | NULL | 11790995936 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6ccdd1d4b5d3b7769bf0664e7ef09371 | WALISON | NULL | NULL | 11790995936 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.3075 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 610f12e03f998dc6757d0157b820075b | VERA | NULL | NULL | 11790966139 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 610f12e03f998dc6757d0157b820075b | VERA | NULL | NULL | 11790966139 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 52339d70d59c638f8ef91d6b30010ff8 | VALDIVINO | NULL | NULL | 11723825139 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 52339d70d59c638f8ef91d6b30010ff8 | VALDIVINO | NULL | NULL | 11723825139 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 10626 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 0.5474 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 22896 | CEFUROXIMA 750 MG + DIL. 6 ML PO I | 0.0000 | 26.1264 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 1.1974 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1a5c0b397236a920b1779fc97c7e0ee1 | MARISA | NULL | NULL | 11724082038 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1a5c0b397236a920b1779fc97c7e0ee1 | MARISA | NULL | NULL | 11724082038 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1fb888a692bccc089af5d2b8b27bce6c | ERIKA | NULL | NULL | 11634771436 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810839031 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810846546 | 01724 | ATADURA CREPOM 10 CM UN | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d7950724c3cb4740081170c6a4d75e1 | EDUARDO | NULL | NULL | 11722125234 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d7950724c3cb4740081170c6a4d75e1 | EDUARDO | NULL | NULL | 11722125234 | 09091 | PROMETAZINA 25 MG/ML 2 ML SI IM IV | 0.0000 | 2.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fb2d3eadccc82ffa38b0adbb5e16123f | DEUCELIA | NULL | NULL | 11737021639 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.0256 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c834ff3ed3ac7af93247dafdc879e033 | DALVA | NULL | NULL | 11824298630 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c834ff3ed3ac7af93247dafdc879e033 | DALVA | NULL | NULL | 11824298630 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11797032133 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 24c7a189d55648ee51fabca3bb04037a | CAROENE | NULL | NULL | 11810763238 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 24c7a189d55648ee51fabca3bb04037a | CAROENE | NULL | NULL | 11810763238 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 24c7a189d55648ee51fabca3bb04037a | CAROENE | NULL | NULL | 11810763238 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a9cf243687cbfaa641643ad6c257c937 | BIHANCA | NULL | NULL | 11837622936 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7a6d98219289584b76ce5993096f5664 | AUGUSTO | NULL | NULL | 11817847634 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7a6d98219289584b76ce5993096f5664 | AUGUSTO | NULL | NULL | 11817847634 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fee4258fac7a95841c7e070ca0661700 | ANTONIO | NULL | NULL | 11772447639 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d2a77c5334898ed2bd6b1c1b87ca854e | ANNA | NULL | NULL | 11892066140 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11775093633 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2f854de70d3fd96f252b56d7365d892b | ANA | NULL | NULL | 11745846233 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | b1fe289507b89053032bcc7c47a2b885 | EVERALDO | NULL | NULL | 11839440511 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872478119 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 8aff65b108eeaad3bde7549e34191cd1 | LENY | NULL | NULL | 11836746017 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 71700ff88995cbb37c1f1862674d4c8c | CASSIMIRO | NULL | NULL | 11829820615 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815750018 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 71f40b9c212f1536634fa8a680a1d740 | FABIO | NULL | NULL | 11864694217 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 571b48f2efa444ecc6d1bfb9e8f826c6 | RICHER | NULL | NULL | 11867781915 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 2d12d0eaafc7d32439e3994af91613da | DINACI | NULL | NULL | 11861123617 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11861111616 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 80bbc93d5ddbb34accea78d9ebb163ae | HELENI | NULL | NULL | 11867324013 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11862709811 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11829306010 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 3c9b5770ac143cc3fe83f2b9f9f1f2e6 | GERACINA | NULL | NULL | 11867845511 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866487014 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 21245 | TIAMAZOL 5 MG CP VO UN | 0.1700 | 0.1663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.6662 | 0.3338 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5034 | 0.1666 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 2.0920 | 1.6780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.8000 | 1.7968 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 4.8000 | 4.1000 | 0.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2780 | 0.1220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2680 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.7900 | 6.5270 | 0.2630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.5560 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54653 | DERSANI LC TP ML | 19.4000 | 9.2100 | 10.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 25.3244 | 12.6656 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 46.8000 | 45.5700 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 2.5707 | 3.8593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00238 | ATADURA CREPOM 15 CM UN | 2.3300 | 1.7092 | 0.6208 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2985 | 0.0315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2970 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5617 | 0.1383 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5617 | 0.1383 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51242 | SONDA DOBBHOFF (P/ ALIMENTAÇÃO ENTERAL) UN | 38.8100 | 19.4080 | 19.4020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4380 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4380 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 66.7300 | 6.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 66.7300 | 6.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0900 | 1.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0800 | 1.8600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0800 | 1.8600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d8275d7e1b4720d2b25cb8765ee329eb | RICARDO | NULL | NULL | 11829312948 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5610 | 0.4390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4100 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4000 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 2.5600 | 2.0400 | 0.5200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.2135 | 0.5965 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 0.4271 | 1.1929 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8950 | 2.8950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6882 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 10.5600 | 10.5578 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6734 | 0.3266 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6734 | 0.3266 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7684 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2574 | 0.2526 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1295 | 0.1305 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3570 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3570 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.9028 | 0.2772 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8500 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0416 | 0.3684 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.3772 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 68.0600 | 5.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 68.0600 | 5.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 146.8000 | 136.1200 | 10.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.4300 | 0.4289 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.8500 | 0.8479 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.2800 | 1.2769 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.2800 | 1.2769 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4612 | 0.0388 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 00090 | SERINGA DESC 20 ML UN | 1.4900 | 1.3738 | 0.1162 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.2667 | 0.1133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6130 | 0.3870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6110 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0589 | 0.5311 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1460 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3370 | 0.4330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3370 | 0.4330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6494 | 0.1606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6494 | 0.1606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52403 | MORFINA 1 MG/ML 2 ML SI IM IT IV PE AP | 3.9900 | 3.7799 | 0.2101 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2571 | 0.2229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2571 | 0.2229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2571 | 0.2229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2571 | 0.2229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5143 | 0.4457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5143 | 0.4457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5143 | 0.4457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2600 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3930 | 0.4070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3930 | 0.4070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.8600 | 0.9130 | 0.9470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 01656 | DIAZEPAM 5 MG/ML 2 ML SI IM IV AP | 0.3900 | 0.3600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8430 | 4.5370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0400 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.0900 | 0.5100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 25.6900 | 25.3860 | 0.3040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 25.6900 | 25.3860 | 0.3040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 3.5900 | 3.5872 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2800 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2800 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2800 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2800 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51163 | AGUA BIDESTILADA 250 ML | 5.6700 | 4.8600 | 0.8100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51163 | AGUA BIDESTILADA 250 ML | 5.6700 | 4.8600 | 0.8100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 6.4300 | 6.0000 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1920 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.4700 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6900 | 0.3100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6900 | 0.3100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6900 | 0.3100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3451 | 0.0049 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.6997 | 0.8503 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.6994 | 0.8506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0590 | 0.5310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.2800 | 0.2680 | 1.0120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51584 | ESPARADRAPO MICROPORE | 1.2800 | 0.2680 | 1.0120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 54653 | DERSANI LC TP ML | 9.7000 | 6.4700 | 3.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9109 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.0910 | 0.1790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.0890 | 0.1810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1760 | 0.3540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 01585 | DOPAMINA 5 MG/ML 10 ML SI IV AP | 2.4800 | 2.4774 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.1789 | -0.1789 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2722 | 0.1461 | 0.1139 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.1122 | 0.0730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.0422 | 0.0365 | -0.0065 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00563 | ATROPINA 0,50 MG SI IV AP | 1.9500 | 1.9434 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00563 | ATROPINA 0,50 MG SI IV AP | 1.9500 | 1.9500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 37.4300 | 37.4280 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00182 | SULFATO DE MAGNESIO 500 MG/ML 10 ML SI IM IV AP | 1.3600 | 1.3600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00856 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 27.3400 | 27.3400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00856 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 54.6800 | 54.6800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 52771 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3P13T EV | 14.0700 | 14.0700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 17.8100 | 17.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51164 | AGUA BIDESTILADA 500 ML | 12.8500 | 12.8500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 01313 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 6.4500 | 6.4480 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.3000 | 0.2950 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2720 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.1439 | 0.1461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51241 | AGULHA 123X45 | 4.1900 | 3.8611 | 0.3289 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1344 | 0.1256 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00125 | LUVA CIRURGICA UN | 2.9000 | 2.9000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.6044 | -0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7552 | 0.2448 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 2.0000 | 1.9970 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.5233 | -0.1733 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.5233 | -0.1733 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00563 | ATROPINA 0,50 MG SI IV AP | 1.3000 | 1.2934 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857814941 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1580 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.0300 | 0.0285 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0200 | 0.0200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2560 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.0310 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.4594 | 2.1506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.5224 | 0.1476 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5720 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4840 | 0.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2570 | 0.2530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.2740 | 0.3260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.2740 | 0.3260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1370 | 0.1630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0590 | 0.5310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5060 | 0.0940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2530 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 18.0000 | 16.5000 | 1.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 18.0000 | 16.5000 | 1.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 18.0000 | 16.5000 | 1.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0958 | 0.2742 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9800 | 4.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9800 | 4.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3090 | 0.3610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7840 | 0.2160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1916 | 77.1884 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35522 | POLIMIXINA B 500.000 UI PO IM IT IV FA | 389.9500 | 250.9500 | 139.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35522 | POLIMIXINA B 500.000 UI PO IM IT IV FA | 389.9500 | 250.9600 | 138.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6861 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54653 | DERSANI LC TP ML | 19.4000 | 9.7000 | 9.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.7900 | 6.1216 | 0.6684 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 8.6900 | 8.6848 | 0.0052 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 5.7900 | 5.7865 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 02204 | SUPOSITORIO GLICERINA ADULTO SP VR UN | 0.8200 | 0.7600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 02204 | SUPOSITORIO GLICERINA ADULTO SP VR UN | 0.8200 | 0.7600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 55223 | Pirimetamina 25mg - Cpr | 0.2000 | 0.1690 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 8.5800 | 8.5750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2900 | 4.2870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02177 | TENOXICAM 20 MG + DIL. 2 ML PO IM IV FA | 7.1600 | 4.7754 | 2.3846 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3683 | 0.0317 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0250 | 0.0350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00111 | ABOCATH N 14 A 22 UN | 11.3000 | 5.0215 | 6.2785 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00111 | ABOCATH N 14 A 22 UN | 11.3000 | 5.0215 | 6.2785 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3400 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3500 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6100 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1610 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1610 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1610 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01137 | SONDA URETRAL N 12 UN | 0.7600 | 0.7550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0256 | 0.0244 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 61.4100 | 58.1800 | 3.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | 0.6900 | 0.6000 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2704 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 53047 | FIO PROLENE 3-0 C/ AGULHA 2,0 1/2 9522T EV | 36.1500 | 36.1500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 83.9500 | 83.9500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 18.9900 | 18.9840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 02247 | HIDROCORTISONA 500 MG PO IM IV FA | 6.3500 | 6.3500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00182 | SULFATO DE MAGNESIO 500 MG/ML 10 ML SI IM IV AP | 1.3600 | 1.3519 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5974 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2752 | -0.0152 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3773 | 0.3927 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.0622 | 0.0487 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 4.1100 | 4.1075 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 5.1400 | 5.1400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2736 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 60.8400 | 60.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9855 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9381 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.7700 | 0.0000 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.1390 | 0.1510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00125 | LUVA CIRURGICA UN | 2.9000 | 2.8900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9710 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2368 | 0.0232 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.6044 | -0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7552 | 0.2448 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7552 | 0.2448 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00471 | LIDOCAINA 2% GE OU TP GR | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.8800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.9000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0200 | 0.0200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5360 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0268 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 1.6206 | -0.0206 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 1.6206 | -0.0206 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5402 | -0.0102 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0248 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.6240 | 0.1760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9109 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4554 | 0.0246 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4554 | 0.0246 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5888 | 0.1012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1350 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6170 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1830 | 0.3470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1930 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4047 | 0.4053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4047 | 0.4053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 0.0000 | 6.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5200 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5300 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.9400 | 0.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.9760 | 1.4340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2570 | 0.2530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 308.7600 | 282.2961 | 26.4639 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 18175 | Cloridrato De Vancomicina 1g Inj. | 91.2400 | 85.1600 | 6.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | 6.9000 | 0.9800 | 5.9200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4650 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4650 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6874 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54687 | IODOPOVIDONA SD TP ML | 1.2000 | 1.0000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1756 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1756 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1756 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7077 | 0.2923 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857814941 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6160 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 50.9456 | 3.1844 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2410 | 0.2690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1590 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1590 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1194 | 0.1406 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3067 | 0.0233 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2f854de70d3fd96f252b56d7365d892b | ANA | NULL | NULL | 11745846233 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d2a77c5334898ed2bd6b1c1b87ca854e | ANNA | NULL | NULL | 11892066140 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a9cf243687cbfaa641643ad6c257c937 | BIHANCA | NULL | NULL | 11837622936 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a9cf243687cbfaa641643ad6c257c937 | BIHANCA | NULL | NULL | 11837622936 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11706199130 | 10634 | GLICOSE 50% 20 ML SI IV AP | 0.0000 | 1.0678 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11706199130 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11704479331 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 24c7a189d55648ee51fabca3bb04037a | CAROENE | NULL | NULL | 11810763238 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 24c7a189d55648ee51fabca3bb04037a | CAROENE | NULL | NULL | 11810763238 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11831061738 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11831061738 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.3072 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1a5c0b397236a920b1779fc97c7e0ee1 | MARISA | NULL | NULL | 11724082038 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 18457 | REPARIL (ESCINA + DIETILAMONIO) GL | 0.0000 | 0.3752 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b6e653f3717c48eb8d9d6a33b0ae9971 | NIVIA | NULL | NULL | 11732451833 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 67487b530d34314734fcf47c37285e70 | OSIEL | NULL | NULL | 11723345232 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829313730 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829313730 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 23280 | FIO POLYCOT 2.0 S/ AGULHA SPA44T UN | 0.0000 | 25.4880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830071032 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830071032 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830071032 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830071032 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 52339d70d59c638f8ef91d6b30010ff8 | VALDIVINO | NULL | NULL | 11723825139 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 52339d70d59c638f8ef91d6b30010ff8 | VALDIVINO | NULL | NULL | 11723825139 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 52339d70d59c638f8ef91d6b30010ff8 | VALDIVINO | NULL | NULL | 11723825139 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 52339d70d59c638f8ef91d6b30010ff8 | VALDIVINO | NULL | NULL | 11723825139 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 610f12e03f998dc6757d0157b820075b | VERA | NULL | NULL | 11790966139 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11829310738 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6ccdd1d4b5d3b7769bf0664e7ef09371 | WALISON | NULL | NULL | 11790995936 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6ccdd1d4b5d3b7769bf0664e7ef09371 | WALISON | NULL | NULL | 11790995936 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.8600 | 1.6060 | 0.2540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.0000 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0000 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.0000 | 0.5100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 0.0000 | 6.8200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 37831 | NEURONTIN 300MG 30 CP | 1.4700 | 0.0000 | 1.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 37831 | NEURONTIN 300MG 30 CP | 1.4700 | 0.0000 | 1.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 37831 | NEURONTIN 300MG 30 CP | 1.4700 | 0.0000 | 1.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3860 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3860 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 0.0000 | 2.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0146 | 0.4354 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4100 | 0.4069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.5016 | 0.1684 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 0.0000 | 6.8200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 12.9400 | 12.9353 | 0.0047 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1500 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 2.5000 | 2.2360 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.2890 | 0.5210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 40.5900 | 0.0000 | 40.5900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.7978 | 0.1322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.5861 | 0.0639 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8856 | 0.5644 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00124 | LUVA CIRURGICA UN | 5.7900 | 3.5362 | 2.2538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4710 | 0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0885 | 3.3215 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0885 | 3.3215 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2520 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2520 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 1.3529 | 8.1171 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00124 | LUVA CIRURGICA UN | 4.3400 | 2.8900 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1480 | 0.1520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.5000 | 0.7400 | 0.7600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4300 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8160 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 53880 | FIO ACIFLEX 2-0 S/ AG BSS - 28T EV | 0.0000 | 6.3554 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3cec382940cde814366b829f5156e807 | DULCINEA | NULL | NULL | 11860769839 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3cec382940cde814366b829f5156e807 | DULCINEA | NULL | NULL | 11860769839 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | edae56e7ad86848db71a15facd21e97d | ELCY | NULL | NULL | 11802062532 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.9993 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11871758430 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843704830 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843704830 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bc0aaa5a07c86f12475641a70a287f26 | GLAUCE | NULL | NULL | 11746693433 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11810539330 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 24538 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J | 0.0000 | 18.1366 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836634 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 85deaf02df0c2e477b92eab40e5585a2 | ISAURA | NULL | NULL | 11772106738 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2e7873e3e1a70aa7debf49ee5c2c7f27 | IZABEL | NULL | NULL | 11802066237 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | afb55c8be5f6cc50fb22f7a5aa0cd72f | JACQUELINE | NULL | NULL | 11864725135 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11875810332 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51314 | ZOLPIDEM 10 MG CP VO UN | 0.0000 | 1.2796 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836634 | 000501 | OXIGENIO | 44.0200 | 41.9100 | 2.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1470 | 0.1130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1500 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8900 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.5995 | 0.4005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1786 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 42291 | COLETOR P/ INCOTINECIA URINARIA | 1.2700 | 0.9656 | 0.3044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 42291 | COLETOR P/ INCOTINECIA URINARIA | 1.2700 | 0.9656 | 0.3044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 42291 | COLETOR P/ INCOTINECIA URINARIA | 1.2700 | 0.9656 | 0.3044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 12880 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN | 27.0800 | 0.0000 | 27.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 12880 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN | 27.0800 | 0.0000 | 27.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.0844 | 0.0956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6900 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 10.5802 | 9.6998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1430 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0640 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0958 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0958 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11862679347 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51662 | Simeticona frasco c/15 ml | 0.9000 | 0.7300 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 54989 | LUFTAL (SIMETICONA) EM VO GT | 0.9000 | 0.7400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7659 | 0.2341 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 07315 | DIPROSALIC (DIPROPIONATO DE BETAMET | 0.0000 | 0.7483 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 32905 | EQUIPO POLIFIX 4ş VIAS UN | 0.0000 | 15.2952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 3cec382940cde814366b829f5156e807 | DULCINEA | NULL | NULL | 11860449419 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | f97b317d89ac330f89abf105bfe4bbed | ANA | NULL | NULL | 11822702914 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 4ce66437c651cb2310e0c7bf95ea0978 | AILTON | NULL | NULL | 11829450514 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 1cd550682b2aa16b274fb29283772048 | GABRIEL | NULL | NULL | 11879099119 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 3e03a64ce435ea9499110d754da2cb47 | AMANDA | NULL | NULL | 11843080119 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | aa951008402de6c090909a2ca5bec6b9 | EDUARDO | NULL | NULL | 11830065714 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | c834ff3ed3ac7af93247dafdc879e033 | DALVA | NULL | NULL | 11824279519 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | a71a722708dcb891fe1cf7166dc808cf | LUZIA | NULL | NULL | 11887577919 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | bf3677e5c5e5dd5dc07aa3c8ed1fc78b | MARLENE | NULL | NULL | 11887448116 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 1f8eb120b357c40b6fa31739ddda339f | SEBASTIANA | NULL | NULL | 11873194415 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | e8407eb9e8f021da1310484030d1cecc | ELIAS | NULL | NULL | 11893478317 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11895093713 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | d3216f5ebd51bdd2ff225f9c7c7ad8ae | MARIA | NULL | NULL | 11885856818 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 211cf1485c95db6981b3e640a5907fd6 | ROZEILDES | NULL | NULL | 11893682713 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 8a163cbb3dbfdc1d6293a069887e947e | EDLANIA | NULL | NULL | 11877040417 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 20885 | SUFENTANILA 50 MCG/ML 1 ML SI IV P | 0.0000 | 19.1586 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 9c81929e0383cbb8b642d68a5f974595 | JORGE | NULL | NULL | 11876607813 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 9078757a68ecc0ae5653131b76685976 | ANDREIA | NULL | NULL | 11814205816 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843537213 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | afb55c8be5f6cc50fb22f7a5aa0cd72f | JACQUELINE | NULL | NULL | 11816384912 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829917910 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | a8079f12ecc3a5e35cbdff069c934857 | ROSEMARY | NULL | NULL | 11861198618 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11829940417 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11843533214 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857126318 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | c5c2f0eae6871d4d13c40cf8bb0ae2fc | DILEA | NULL | NULL | 11836733313 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | a9cf243687cbfaa641643ad6c257c937 | BIHANCA | NULL | NULL | 11837603117 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 049b5bf3d1fd737873fc479313435d1f | LUAN | NULL | NULL | 11872762518 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | bb996f940c42108751ba3050d64428c2 | GABRIELLA | NULL | NULL | 11824260419 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 708d68a4ae1999a6665a776a342e110c | MARIA | NULL | NULL | 11861392910 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 99c3131e84c1ca73e00a98151f2f2f30 | KAREN | NULL | NULL | 11892291510 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 21245 | TIAMAZOL 5 MG CP VO UN | 0.1700 | 0.1663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.0628 | 0.0672 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.2100 | 0.5600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0110 | 0.0190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0220 | 0.0380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7535 | 0.0065 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.6661 | 0.3339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 2.0920 | 1.6780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 2.0920 | 1.6780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00097 | ABOCATH N 14 A 22 UN | 7.5300 | 4.1800 | 3.3500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0320 | 0.0280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0320 | 0.0280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2680 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.5560 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.5560 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 20.4500 | 19.6600 | 0.7900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54653 | DERSANI LC TP ML | 19.4000 | 9.2200 | 10.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54653 | DERSANI LC TP ML | 19.4000 | 9.2100 | 10.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 25.3250 | 12.6650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 25.3244 | 12.6656 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 46.8000 | 45.5700 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 2.5707 | 3.8593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 2.5707 | 3.8593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.3904 | 0.3796 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 3.3904 | 0.3796 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00238 | ATADURA CREPOM 15 CM UN | 4.6600 | 3.4184 | 1.2416 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51419 | FILTRO DE BARREIRA | 24.0000 | 12.0000 | 12.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2970 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1432 | 0.1168 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1424 | 0.1176 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2794 | 0.2306 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2794 | 0.2306 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.2707 | 0.3193 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5617 | 0.1383 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5617 | 0.1383 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51242 | SONDA DOBBHOFF (P/ ALIMENTAÇÃO ENTERAL) UN | 38.8100 | 19.4070 | 19.4030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51242 | SONDA DOBBHOFF (P/ ALIMENTAÇÃO ENTERAL) UN | 38.8100 | 19.4070 | 19.4030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.4500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4380 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4380 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4380 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 66.7200 | 6.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0900 | 1.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0900 | 1.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0800 | 1.8600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.4100 | 0.1800 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2380 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2210 | 0.0390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5040 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2562 | 0.0638 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2562 | 0.0638 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1054 | 0.2946 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.2135 | 0.5965 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2789 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 15.8300 | 15.8267 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.1700 | 0.1147 | 0.0553 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00098 | ABOCATH N 14 A 22 UN | 11.3000 | 11.2952 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2574 | 0.2526 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4518 | 0.1382 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51378 | SERINGA DESC 03 ML UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 146.8000 | 136.1200 | 10.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00471 | LIDOCAINA 2% GE OU TP GR | 0.2600 | 0.2010 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 17252 | LIDOCAINA 2% GE OU TP GR | 2.5900 | 1.9850 | 0.6050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.4300 | 0.4289 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.4300 | 0.4289 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 00126 | LUVA CIRURGICA UN | 5.3300 | 2.9087 | 2.4213 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 00090 | SERINGA DESC 20 ML UN | 0.9900 | 0.9128 | 0.0772 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 22.4300 | 0.0000 | 22.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.8600 | 1.0640 | 0.7960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.5900 | 0.6340 | 0.9560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.2667 | 0.1133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00117 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS UN | 16.4000 | 0.0000 | 16.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.0580 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.0580 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1460 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1460 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1460 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.2920 | 0.3080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 0.8760 | 0.9240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1140 | 0.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3370 | 0.4330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6494 | 0.1606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6494 | 0.1606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5064 | 0.4336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5064 | 0.4336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52403 | MORFINA 1 MG/ML 2 ML SI IM IT IV PE AP | 3.9900 | 3.7800 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6230 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6230 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2571 | 0.2229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2571 | 0.2229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2571 | 0.2229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5143 | 0.4457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 0.7715 | 0.6685 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3930 | 0.4070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 01656 | DIAZEPAM 5 MG/ML 2 ML SI IM IV AP | 0.3900 | 0.3600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 01656 | DIAZEPAM 5 MG/ML 2 ML SI IM IV AP | 0.3900 | 0.3500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00031 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 1.9630 | 3.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 1.9600 | 3.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 7.6500 | 2.9410 | 4.7090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0400 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0400 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0400 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.5000 | 0.2200 | 1.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0800 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 79.2700 | 78.3340 | 0.9360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.0692 | 0.3308 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00098 | ABOCATH N 14 A 22 UN | 6.9400 | 4.6256 | 2.3144 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2900 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2900 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2800 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51163 | AGUA BIDESTILADA 250 ML | 5.6700 | 4.8600 | 0.8100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.0990 | 0.9610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1920 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6900 | 0.3100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.0129 | 0.7571 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5887 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5887 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3451 | 0.0049 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.6994 | 0.8506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.1400 | 0.4600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.0200 | 0.2130 | 0.8070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51584 | ESPARADRAPO MICROPORE | 1.0200 | 0.2130 | 0.8070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51584 | ESPARADRAPO MICROPORE | 1.2800 | 0.2680 | 1.0120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 54653 | DERSANI LC TP ML | 19.4000 | 12.9300 | 6.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9109 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9109 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9109 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.2660 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11843120635 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872479330 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11843550832 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11857118648 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11857118648 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 08460 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U | 0.0000 | 16.3969 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 02534 | BICARBONATO DE SODIO 8,4% 10 ML SI | 0.0000 | 3.9760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.3971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00485 | AGUA BIDESTILADA 500 ML SI IM IV | 0.0000 | 6.4269 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11808889232 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 53880 | FIO ACIFLEX 2-0 S/ AG BSS - 28T EV | 0.0000 | 6.3554 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857749834 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864650230 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 24430 | FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2475 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00557 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.6446 | 0.0254 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0340 | 0.4160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2100 | 0.0700 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9050 | 0.0550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9050 | 0.0550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 4.7370 | 4.7330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2678 | 0.1322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2081 | 3.2019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4680 | 0.3020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.0600 | 0.7060 | 0.3540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.5320 | 0.2680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6872 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6872 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6872 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.4700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.1500 | 0.1200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 5.7600 | 5.2894 | 0.4706 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7700 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3820 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3820 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.3400 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.3400 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5853 | 0.2247 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2890 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2890 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 32.9500 | 5.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 32.9500 | 5.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3710 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3710 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.3710 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3790 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3790 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3790 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.2000 | 0.1890 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.2000 | 0.1890 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bce83428ddaef831cd5652e2dee0f666 | MARIA | NULL | NULL | 11675671233 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bce83428ddaef831cd5652e2dee0f666 | MARIA | NULL | NULL | 11675671233 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 0.5987 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bce83428ddaef831cd5652e2dee0f666 | MARIA | NULL | NULL | 11675671233 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bce83428ddaef831cd5652e2dee0f666 | MARIA | NULL | NULL | 11675671233 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e059645a816c79f801859032d54334d6 | MARIA | NULL | NULL | 11653454440 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e059645a816c79f801859032d54334d6 | MARIA | NULL | NULL | 11653454440 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 3.1768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e059645a816c79f801859032d54334d6 | MARIA | NULL | NULL | 11653454440 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 01b65cae7e1c979708ab72a46c9dd33f | MARIA | NULL | NULL | 11779209030 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 08460 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U | 0.0000 | 16.3969 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 0.0000 | 16.1771 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5bced1795d4477bbb56e945ed8e522ad | LOURDINHA | NULL | NULL | 11688263237 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.3971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5bced1795d4477bbb56e945ed8e522ad | LOURDINHA | NULL | NULL | 11688263237 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5bced1795d4477bbb56e945ed8e522ad | LOURDINHA | NULL | NULL | 11688263237 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5bced1795d4477bbb56e945ed8e522ad | LOURDINHA | NULL | NULL | 11688263237 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 11.5760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.2055 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 11705601835 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e0dbb7bef69a187b5b376c8a039654b2 | JUAREZ | NULL | NULL | 11727249234 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e0dbb7bef69a187b5b376c8a039654b2 | JUAREZ | NULL | NULL | 11727249234 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e0dbb7bef69a187b5b376c8a039654b2 | JUAREZ | NULL | NULL | 11727249234 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 17892 | NEOSTIGMINA 0,5 MG/ML 1 ML SI SC I | 0.0000 | 3.0676 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 45611806e20180702368acb7d7711e5b | JOAO | NULL | NULL | 11682782439 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820252938 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820252938 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 3.3952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 0.0000 | 7.8894 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1afd3b3f842202a508f71ef4811ac75a | HELOAH | NULL | NULL | 11810848433 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11698074734 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11698074734 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11817085435 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 96aca2102ab122b1b57bb31e4e5bd131 | GERALDINA | NULL | NULL | 11829669633 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843551034 | 02461 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.0000 | 0.0851 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843551034 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843551034 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f47a94061fd464a75276359e386b5791 | GENERONCIO | NULL | NULL | 11817891534 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0009ba6bad5451e560474ca63122de13 | EVALDO | NULL | NULL | 11829428335 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f23b9d477a44da8110a6efcdc6d0fb9f | EULICE | NULL | NULL | 11725043633 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f23b9d477a44da8110a6efcdc6d0fb9f | EULICE | NULL | NULL | 11725043633 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 17db6ae646cf3b24117dd09571f18089 | ALMY | NULL | NULL | 11873835430 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00540 | AGULHA DESC 13 X 45 UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.2560 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11821809845 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11821809845 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11821809845 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5836 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1431 | 0.1169 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810846546 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11872109044 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 1.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1128 | 0.4172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0292 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.6000 | 1.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e059645a816c79f801859032d54334d6 | MARIA | NULL | NULL | 11653454440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2540 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e059645a816c79f801859032d54334d6 | MARIA | NULL | NULL | 11653454440 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 18716 | RISPERIDONA 1 MG CP VO UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 1.4060 | -1.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 3ddbe0467197d67f2d3f7c602514920e | NILZA | NULL | NULL | 11887585741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2540 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.3900 | 2.3900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4010 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 01102 | SONDA FOLEY 2 VIAS N 16 UN | 3.8200 | 3.8200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 01102 | SONDA FOLEY 2 VIAS N 16 UN | 3.8200 | 3.8122 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1744 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 2.2192 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1516 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54555 | AEROLIN | 1.9900 | 1.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6630 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9710 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.7700 | 0.8654 | -0.0954 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5360 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 51584 | ESPARADRAPO MICROPORE | 1.7900 | 1.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11838328642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11838328642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9980 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.5100 | 1.0590 | -0.5490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1984 | 0.0616 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.3968 | 0.1132 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5090 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1220 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 10.2200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1792 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4425 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.5100 | 1.1344 | -0.6244 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9980 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6434 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6826 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 53068 | FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371H EV | 40.1500 | 40.1500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 3.3200 | 3.1931 | 0.1269 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00857 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 27.3400 | 27.3400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 4.7000 | 4.6960 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 1.0240 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 0.0000 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 0.0000 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 567bf3aeb36e9244568d0ddaf8f5e83a | ADI | NULL | NULL | 11815389119 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 0.0000 | NULL | AGENDAMENTO CANCELADO OU NAO CONFIR | 0621 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 13757 | IODOPOVIDONA SD TP ML | 0.0000 | 0.2000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 2.7669 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 10626 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 25232 | CORDA GUIA 0,014 CONVENCIONAL UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 201002 | TAXA DE SALA PORTE 1 | 0.0000 | 0.0000 | NULL | PROCEDIMENTO REALIZADO DIFERENTE DO | 0404 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 1.3100 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6f6607a2010496db7dd4a54c62b91f64 | WEVERTON | NULL | NULL | 11795317635 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11790566530 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11790566530 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2120 | 0.0480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 52771 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3P13T EV | 14.0700 | 14.0656 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8110 | 0.1890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3550 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3550 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00371 | PARACETAMOL 500 MG + CODEINA 30 MG CP VO UN | 0.9800 | 0.0000 | 0.9800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.0000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 0.0000 | 9.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 02188 | ACICLOVIR 250 MG PO IV FA | 192.8900 | 0.0000 | 192.8900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 02188 | ACICLOVIR 250 MG PO IV FA | 192.8900 | 0.0000 | 192.8900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 02188 | ACICLOVIR 250 MG PO IV FA | 192.8900 | 0.0000 | 192.8900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 02188 | ACICLOVIR 250 MG PO IV FA | 192.8900 | 0.0000 | 192.8900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.9319 | 0.5181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3290 | 0.2110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7080 | 0.2920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2180 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3728 | 0.0272 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3728 | 0.0272 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3728 | 0.0272 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0148 | 0.4352 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7860 | 0.2140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51584 | ESPARADRAPO MICROPORE | 1.7900 | 1.5510 | 0.2390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3512 | 0.0488 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.6000 | 0.3990 | 1.2010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 00126 | LUVA CIRURGICA UN | 1.4500 | 0.6211 | 0.8289 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4100 | 0.1600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 5.8202 | 1.9398 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 7.7627 | 2.5873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.6930 | 0.9770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00095 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8830 | 1.8870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2180 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1700 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1476 | 0.2624 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1474 | 0.2626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4180 | 0.2520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00069 | SERINGA DESC 10 ML UN | 2.3300 | 2.1744 | 0.1556 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.3630 | 0.8370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.3535 | 0.4165 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.5344 | 0.1956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.5344 | 0.1956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.6152 | 0.3248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.3431 | 0.3469 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.1900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 53051 | POLIPROPILENO AZUL MONOFILAMENTO Cardiovascular Aco 300 | 18.3100 | 18.3090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3e03a64ce435ea9499110d754da2cb47 | AMANDA | NULL | NULL | 11843121230 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3e03a64ce435ea9499110d754da2cb47 | AMANDA | NULL | NULL | 11843121230 | 20575 | SORO FISIOLOGICO 0,9% 1000 ML SI I | 0.0000 | 5.8390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 24538 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J | 0.0000 | 18.1366 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7fbed525c167f3b67f84c3a929b9fd93 | CARLOS | NULL | NULL | 11841939032 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866489135 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 22128 | PARACETAMOL 500 MG + CODEINA 30 MG | 0.0000 | 1.9660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6551 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872479330 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872479330 | 10634 | GLICOSE 50% 20 ML SI IV AP | 0.0000 | 2.1356 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11857739533 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11857739533 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.2055 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791513933 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 0.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791513933 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.2055 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f85349411240cc4bea35c1a684af7a4e | ROSILENE | NULL | NULL | 11876908138 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 98d84ac332d267c79f65dcf2e74bbcb9 | SEBASTIAO | NULL | NULL | 11676108934 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 98d84ac332d267c79f65dcf2e74bbcb9 | SEBASTIAO | NULL | NULL | 11676108934 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.8850 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6dd04c2da28ee38ae6e8ba6af8296ef | MARIA | NULL | NULL | 11591043232 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.0000 | 0.6097 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c1c04f2f6ed6b11970c617a5b4c70de7 | FABIO | NULL | NULL | 11805120630 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 63f5f65c246cf250cf1777fe71db1d3a | MARIA | NULL | NULL | 11798732430 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.3971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 63f5f65c246cf250cf1777fe71db1d3a | MARIA | NULL | NULL | 11798732430 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 13722 | BUPIVACAINA 5 MG/ML + GLICOSE 80 MG | 0.0000 | 6.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 13722 | BUPIVACAINA 5 MG/ML + GLICOSE 80 MG | 0.0000 | 6.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 13722 | BUPIVACAINA 5 MG/ML + GLICOSE 80 MG | 0.0000 | 6.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | ec7fbb1aa4e9f08b51457ff6d3f37c65 | SONIA | NULL | NULL | 11892801711 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 31df212d0ce52f9869a3ab467573c46a | ANDREIA | NULL | NULL | 11880932416 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 860495ecefb807766abdba2a96dd44e6 | OSCAR | NULL | NULL | 11893506716 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 17b9c71dd36dba4a2904cf3e3cbf0d7b | TINERCIRA | NULL | NULL | 11897296617 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11893353116 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 762ec924ff3f5b10ee901f93cfd01b07 | ILDA | NULL | NULL | 11892540114 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 7a082afd115314c713a2ca06d1f101a6 | GLENDA | NULL | NULL | 11862581214 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 16be244483ae3c719fb7302fd8f5a88a | VERA | NULL | NULL | 11839955217 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 3a72f28eefaa15df05ee7bb057b8921e | DEMIA | NULL | NULL | 11873562010 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 399828402c6c66d63aa27f877153a5bf | ENEDINA | NULL | NULL | 11843185611 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d2a77c5334898ed2bd6b1c1b87ca854e | ANNA | NULL | NULL | 11892066140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d2a77c5334898ed2bd6b1c1b87ca854e | ANNA | NULL | NULL | 11892066140 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810846546 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11862679347 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11862679347 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0958 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0958 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2810 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2810 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 10.5802 | 9.6998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 10.5802 | 9.6998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.1100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.1100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1786 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.5995 | 0.4005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4800 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4800 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2900 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1126 | 0.1474 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3390 | 0.1710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8176 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5820 | 0.4180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3993 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11838328642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2410 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 18.1200 | 13.0400 | 5.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.3990 | 0.6610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.3980 | 0.6620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.3800 | 0.3641 | 0.0159 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.8240 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6230 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3860 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54653 | DERSANI LC TP ML | 9.7000 | 7.2700 | 2.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1100 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4800 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1333 | 0.0567 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1440 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1440 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1150 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1150 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51379 | SERINGA DESC 05 ML UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.3500 | 1.3420 | 1.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.4600 | 1.3006 | 0.1594 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4900 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4900 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4900 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4900 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.9200 | 0.5613 | 0.3587 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2680 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2680 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.6000 | 0.4020 | 0.1980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3509 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0790 | 0.2210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 2.0000 | 0.9300 | 1.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3456 | 0.5944 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2715 | 3.1385 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2715 | 3.1385 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3582 | 0.0418 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.7000 | 0.1800 | 0.5200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2500 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6180 | 0.3820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6140 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6140 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2270 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0410 | 0.0190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5887 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 0.2100 | 0.2100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 01583 | NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP | 0.7700 | 0.7638 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1888 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 1.2390 | -0.8890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.5100 | 0.6929 | -0.1829 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51379 | SERINGA DESC 05 ML UN | 0.5800 | 0.5766 | 0.0034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1220 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51509 | ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML SI IM IV SC | 40.2400 | 40.2380 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 43.1900 | 43.1880 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6826 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 3.1800 | 3.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 7.9400 | 7.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9011 | 0.0989 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.5000 | 0.4505 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 01137 | SONDA URETRAL N 12 UN | 0.7600 | 0.7516 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.3075 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5804 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4611 | 0.0689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11862679347 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2560 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.7054 | -0.0354 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 52769 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 1129T EV | 6.1600 | 6.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6680 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.1241 | -0.1241 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 0.2600 | 0.2549 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 23.3600 | 23.3600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3979 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.6400 | 1.6400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 01603 | GLICOSE 50% 10 ML SI IV AP | 4.3800 | 4.3800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 0.2100 | 0.2041 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9984 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4065 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 18988 | SCALP (TODOS) UN | 0.4000 | 0.3942 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.7900 | 6.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 01336 | FIO MONONYLON 4-0 C/ AGULHA 2,0 3/8 14502T EV | 6.6900 | 6.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 3.1800 | 3.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00126 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5205 | -0.0105 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7686 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836634 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11831061738 | 00098 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5286 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11876447818 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 25fa67c6e55166d3b5c0555d2d2fe74d | DOMINGOS | NULL | NULL | 11829906611 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00125 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1280 | 0.3820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2270 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2290 | 0.2810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6140 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3600 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8930 | 2.8970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 1.4000 | 0.3500 | 1.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2715 | 3.1385 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2715 | 3.1385 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2715 | 3.1385 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 23.7500 | 21.3724 | 2.3776 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3453 | 0.5947 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4154 | 0.3546 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4154 | 0.3546 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0790 | 0.2210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3509 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.6000 | 0.4020 | 0.1980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.9200 | 0.5613 | 0.3587 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.4600 | 1.3006 | 0.1594 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51379 | SERINGA DESC 05 ML UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1150 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 12880 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN | 27.0800 | 20.2783 | 6.8017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54687 | IODOPOVIDONA SD TP ML | 2.0000 | 0.4800 | 1.5200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.1400 | 0.4600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.1400 | 0.4600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.1500 | 0.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.1500 | 0.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 9.0544 | 1.1656 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5820 | 0.1880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5820 | 0.1880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3860 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3860 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7665 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9720 | 0.0280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.5000 | 1.3740 | 0.1260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.8240 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5490 | 0.0510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5490 | 0.0510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2740 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.5900 | 9.7800 | 3.8100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 9.0600 | 6.5300 | 2.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.5300 | 0.8357 | 0.6943 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5820 | 0.4180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3995 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 01137 | SONDA URETRAL N 12 UN | 0.7600 | 0.7560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6010 | 0.3990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1126 | 0.1474 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1128 | 0.1472 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4470 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.3904 | 0.3796 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4800 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1786 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 42291 | COLETOR P/ INCOTINECIA URINARIA | 2.5400 | 1.9312 | 0.6088 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 42291 | COLETOR P/ INCOTINECIA URINARIA | 1.2700 | 0.9656 | 0.3044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 42291 | COLETOR P/ INCOTINECIA URINARIA | 1.2700 | 0.9656 | 0.3044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 42291 | COLETOR P/ INCOTINECIA URINARIA | 1.2700 | 0.9661 | 0.3039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 12880 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN | 27.0800 | 0.0000 | 27.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.6084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6900 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6900 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 3.0000 | 2.7800 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.8300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 81.1100 | 42.3158 | 38.7942 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 10.5810 | 9.6990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.3730 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0640 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6350 | 0.3650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6370 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0958 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.3629 | 0.3371 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.3632 | 0.3368 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1600 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1770 | 0.3530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7659 | 0.2341 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7664 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a9cf243687cbfaa641643ad6c257c937 | BIHANCA | NULL | NULL | 11837622936 | 33120 | TENOXICAM 20 MG + DIL. 2 ML PO IM | 0.0000 | 14.3258 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 24554 | FIO VICRYL 3-0 C/ AGULHA 2,0 3/8 J | 0.0000 | 23.1094 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 24554 | FIO VICRYL 3-0 C/ AGULHA 2,0 3/8 J | 0.0000 | 23.1094 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 1e733da117ed696bfab2f39abfe866b7 | ALBERTINA | NULL | NULL | 11893370618 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | c8ea2a47ae2c609712c0a2d60e74a325 | MARIA | NULL | NULL | 11882657810 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 3a72f28eefaa15df05ee7bb057b8921e | DEMIA | NULL | NULL | 11884290017 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 6de1c934cc7035fabd98d89927e4f844 | MARIZETE | NULL | NULL | 11893627319 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 2fb5ec47cedb46e5e8523ea81ea960fd | JURACY | NULL | NULL | 11893347413 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 152104f927dd97eb5c647311f0a6975f | JOSE | NULL | NULL | 11893313513 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 37729 | FIO VICRYL 0 C/ AGULHA 3,7 5/8 J376 | 0.0000 | 36.1372 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 98d84ac332d267c79f65dcf2e74bbcb9 | SEBASTIAO | NULL | NULL | 11676108934 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f85349411240cc4bea35c1a684af7a4e | ROSILENE | NULL | NULL | 11876908138 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 11.5176 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791513933 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 19143 | SERINGA DESC 05 ML UN | 0.0000 | 0.5766 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11857739533 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872479330 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e0811fe1a62804bd78f94686f8320ba5 | CLEYTON | NULL | NULL | 11802054835 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 24546 | FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371 | 0.0000 | 40.1468 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.2055 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866489135 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.0000 | 1.8674 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866489135 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7fbed525c167f3b67f84c3a929b9fd93 | CARLOS | NULL | NULL | 11841939032 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 19178 | SERINGA DESC 60 ML UN | 0.0000 | 10.3762 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 07293 | DIPIRONA GOTAS 500 MG/ML SO VO GT | 0.0000 | 0.8680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 06793 | DEXAMETASONA 4 MG/ML 2,5 ML SI IV | 0.0000 | 3.2667 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 33010358 | DOPPLER COLORIDO DE TRES OU MAIS VA | 0.0000 | 208.3785 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 1.6650 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 53051 | POLIPROPILENO AZUL MONOFILAMENTO Cardiovascular Aco 300 | 54.9200 | 54.9120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 00097 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.1900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.3432 | 0.3468 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.6152 | 0.3248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.6152 | 0.3248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.5344 | 0.1956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.5344 | 0.1956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00857 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 27.3400 | 27.3393 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.3630 | 0.8370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 3.6900 | 2.5618 | 1.1282 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3079 | 0.0221 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.2949 | 0.5251 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 23.7500 | 21.9253 | 1.8247 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00090 | SERINGA DESC 20 ML UN | 2.6900 | 1.7900 | 0.9000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 0.7200 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 00069 | SERINGA DESC 10 ML UN | 1.3300 | 0.8006 | 0.5294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1986 | 0.1314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.6000 | 0.3000 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2080 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4395 | 0.2305 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.3100 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1700 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 0.0000 | 4.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7112 | 0.0988 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4430 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 0.7700 | 1.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8830 | 1.8870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00124 | LUVA CIRURGICA UN | 5.7900 | 4.0516 | 1.7384 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00125 | LUVA CIRURGICA UN | 4.3400 | 3.0369 | 1.3031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.3000 | 0.1200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6080 | 0.1920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.8740 | 0.3260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.8740 | 0.3260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.8740 | 0.3260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 0.6450 | 0.4350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00558 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.5678 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00124 | LUVA CIRURGICA UN | 5.7900 | 3.7212 | 2.0688 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 02188 | ACICLOVIR 250 MG PO IV FA | 192.8900 | 0.0000 | 192.8900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 02188 | ACICLOVIR 250 MG PO IV FA | 192.8900 | 0.0000 | 192.8900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.0000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.0000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.0000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00371 | PARACETAMOL 500 MG + CODEINA 30 MG CP VO UN | 0.9800 | 0.0000 | 0.9800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3550 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2120 | 0.0480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2120 | 0.0480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2120 | 0.0480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11790566530 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11790566530 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6f6607a2010496db7dd4a54c62b91f64 | WEVERTON | NULL | NULL | 11795317635 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 08e4d66f0f8768725b9bb899442d7b1b | WALQUIRIA | NULL | NULL | 11810543038 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6ccdd1d4b5d3b7769bf0664e7ef09371 | WALISON | NULL | NULL | 11790995936 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.0000 | 1.2000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 2.7669 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 61.4100 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 09865 | ACIDO FOLICO 5 MG CP VO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 23914 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 10626 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 30430 | CAPTOPRIL 25 MG CP VO UN | 0.0000 | 0.0000 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 0.0000 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f23b9d477a44da8110a6efcdc6d0fb9f | EULICE | NULL | NULL | 11725043633 | 00098 | ABOCATH N 14 A 22 UN | 11.3000 | 11.3000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f23b9d477a44da8110a6efcdc6d0fb9f | EULICE | NULL | NULL | 11725043633 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f23b9d477a44da8110a6efcdc6d0fb9f | EULICE | NULL | NULL | 11725043633 | 00098 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5272 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f47a94061fd464a75276359e386b5791 | GENERONCIO | NULL | NULL | 11817891534 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11662669630 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 67487b530d34314734fcf47c37285e70 | OSIEL | NULL | NULL | 11723345232 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00098 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5961 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4410 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0250 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00464 | LIDOCAINA 2% C/ VASO SI IM PE ML | 13.6300 | 13.6300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9976 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 0.2100 | 0.2100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3970 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6aaf25d0c2992ee27eb6cfce134cded0 | JOSE | NULL | NULL | 11791811247 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2970 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8350 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 5.1200 | 5.1100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 53051 | POLIPROPILENO AZUL MONOFILAMENTO Cardiovascular Aco 300 | 36.6100 | 36.6100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 3.7469 | -0.4169 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5600 | 0.3068 | 0.2532 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 31828 | PREDNISONA 20 MG CP VO UN | 1.5000 | 1.5000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1710 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 01137 | SONDA URETRAL N 12 UN | 0.7600 | 0.7600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5018 | 0.1682 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 02247 | HIDROCORTISONA 500 MG PO IM IV FA | 6.3500 | 6.3444 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.7400 | 2.7400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01603 | GLICOSE 50% 10 ML SI IV AP | 5.4700 | 5.4680 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 10.1900 | 10.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6610 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9347 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | bb2821be4317983bc0a68569d592d919 | MARIA | NULL | NULL | 11886155414 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 13757 | IODOPOVIDONA SD TP ML | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8d065ff3056ad0abff06765f873b19e4 | ITAMAR | NULL | NULL | 11808871247 | 999999 | DESPESAS HOSPITALARES DIVERSAS | 0.0000 | 0.0000 | NULL | PROCEDIMENTO MULTIPLO COM PROCEDIME | 0413 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 27600 | ONDANSETRONA 2 MG/ML 4 ML SI IM I | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 58319 | PLACA 3,5 MM BLOQUEADA RETA UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 27545 | CAMPO IODOFORADO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 17db6ae646cf3b24117dd09571f18089 | ALMY | NULL | NULL | 11873835430 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 17db6ae646cf3b24117dd09571f18089 | ALMY | NULL | NULL | 11873835430 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 17db6ae646cf3b24117dd09571f18089 | ALMY | NULL | NULL | 11873835430 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1fb888a692bccc089af5d2b8b27bce6c | ERIKA | NULL | NULL | 11634771436 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11861139439 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7be31b3f781765a40b786f2034bc0295 | EUFRAZIO | NULL | NULL | 11713822035 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7be31b3f781765a40b786f2034bc0295 | EUFRAZIO | NULL | NULL | 11713822035 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11754678530 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0009ba6bad5451e560474ca63122de13 | EVALDO | NULL | NULL | 11829428335 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0009ba6bad5451e560474ca63122de13 | EVALDO | NULL | NULL | 11829428335 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f47a94061fd464a75276359e386b5791 | GENERONCIO | NULL | NULL | 11817891534 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.3075 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843551034 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843551034 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 96aca2102ab122b1b57bb31e4e5bd131 | GERALDINA | NULL | NULL | 11829669633 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 96aca2102ab122b1b57bb31e4e5bd131 | GERALDINA | NULL | NULL | 11829669633 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.3075 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11817085435 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11817085435 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11698074734 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11698074734 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1afd3b3f842202a508f71ef4811ac75a | HELOAH | NULL | NULL | 11810848433 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1afd3b3f842202a508f71ef4811ac75a | HELOAH | NULL | NULL | 11810848433 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1afd3b3f842202a508f71ef4811ac75a | HELOAH | NULL | NULL | 11810848433 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 24457 | FIO MONONYLON 4-0 C/ AGULHA 2,0 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 17191 | FIO VICRYL 3-0 C/ AGULHA 2,4 3/8 J1 | 0.0000 | 61.4884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 19143 | SERINGA DESC 05 ML UN | 0.0000 | 0.5766 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 18333 | ALFENTANILA 0,544 MG/ML 5 ML SI IV | 0.0000 | 95.6595 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 11.5176 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 435cc5e799cf8fa6cacbd547161e7fba | JOSE | NULL | NULL | 11807517831 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 124e9cf5b336a089646beba6933bf1be | KARLA | NULL | NULL | 11803808035 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 124e9cf5b336a089646beba6933bf1be | KARLA | NULL | NULL | 11803808035 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6a746080400e8165df6955a40cdf17ff | LUCIMAR | NULL | NULL | 11705666938 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3ebc79b10ebfb3666ee494caadd40f6c | MANOELA | NULL | NULL | 11723943437 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3ebc79b10ebfb3666ee494caadd40f6c | MANOELA | NULL | NULL | 11723943437 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 17760 | FIO PROLENE 5-0 C/ AGULHA 1,5 1/2 9 | 0.0000 | 10.0559 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 01b65cae7e1c979708ab72a46c9dd33f | MARIA | NULL | NULL | 11779209030 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 13404 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV | 0.0000 | 19.5772 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3790 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 1.6000 | 1.5170 | 0.0830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2903 | 0.1097 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2890 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 0.8744 | 0.3356 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.3400 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3820 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00126 | LUVA CIRURGICA UN | 5.7900 | 3.0800 | 2.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 124e9cf5b336a089646beba6933bf1be | KARLA | NULL | NULL | 11803808035 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7664 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 1.0200 | 1.0150 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11754678530 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.8000 | 1.7960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.4700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.4700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6872 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3580 | 0.1720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.5020 | 0.9480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 04259 | DRENO DE SUCCAO | 26.0000 | 8.6700 | 17.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.0860 | 0.1740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3130 | 0.1970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2081 | 3.2019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2081 | 3.2019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2678 | 0.1322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 2.3650 | 2.3650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4528 | 0.0272 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9050 | 0.0550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.0370 | 0.4130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.4870 | 0.1230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 34010173 | TOMOGRAFIA COMPUTADORIZADA DE ABDOM | 0.0000 | 477.0390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864650230 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 0.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864650230 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864650230 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857749834 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857749834 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01546 | METARAMINOL 10 MG 1 ML SI IM SC IV | 0.0000 | 4.5060 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 24430 | FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 11.8766 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11843550832 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11843550832 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c98a28fdb952ff1b7944a4beef97759f | VIOLETA | NULL | NULL | 11639736930 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11843120635 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11843120635 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791513933 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3067 | 0.0233 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3067 | 0.0233 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3067 | 0.0233 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6228 | 0.0472 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1194 | 0.1406 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1620 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1590 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1590 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1590 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1590 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 50.9456 | 3.1844 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 50.9456 | 3.1844 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 50.9456 | 3.1844 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857814941 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1756 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3648 | 0.0052 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4650 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4650 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0900 | 0.9570 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 18175 | Cloridrato De Vancomicina 1g Inj. | 91.2400 | 85.1600 | 6.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 18175 | Cloridrato De Vancomicina 1g Inj. | 136.8600 | 127.7300 | 9.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.9760 | 1.4340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5424 | 0.0476 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54653 | DERSANI LC TP ML | 38.8000 | 31.5200 | 7.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5300 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5300 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5300 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1998 | 0.2002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4047 | 0.4053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1830 | 0.3470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 234.2100 | 234.2040 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.2120 | 0.8480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5887 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7561 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.3740 | 0.3560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.3700 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5888 | 0.1012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5888 | 0.1012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4554 | 0.0246 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9109 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.6200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | 0.6900 | 0.6000 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 57.3000 | 54.2876 | 3.0124 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1610 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3220 | 0.2780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 01313 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 6.4500 | 6.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 57.5900 | 57.5874 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 4.1100 | 4.1100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 75.9700 | 75.9662 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54653 | DERSANI LC TP ML | 29.1000 | 14.5500 | 14.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 9.3583 | 1.0217 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 9.2140 | 1.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 5.7900 | 5.7865 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 5.7900 | 5.7865 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 4.3400 | 4.3374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 4.9700 | 4.9686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 02204 | SUPOSITORIO GLICERINA ADULTO SP VR UN | 0.8200 | 0.7500 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 2.9840 | 0.4160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3370 | 0.4330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 55223 | Pirimetamina 25mg - Cpr | 0.2000 | 0.1640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2900 | 4.2870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0400 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00097 | ABOCATH N 14 A 22 UN | 7.5300 | 3.3462 | 4.1838 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1800 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6100 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1610 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01137 | SONDA URETRAL N 12 UN | 0.7600 | 0.7550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01137 | SONDA URETRAL N 12 UN | 0.7600 | 0.7550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0256 | 0.0244 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | 0.6900 | 0.6000 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.6200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.6200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9109 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4554 | 0.0246 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4554 | 0.0246 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.1691 | 0.2009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.3700 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.3700 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.3700 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5287 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3090 | 0.3610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 0.3200 | 1.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1060 | 0.4240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 20010141 | Ecocardiograma Bidimensional com Mapeamento de Fluxo à Cores | 137.7500 | 68.8700 | 68.8800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.6000 | 0.5000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.2770 | 0.5230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.2770 | 0.5230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1830 | 0.3470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1998 | 0.2002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5200 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5300 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5300 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5300 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54653 | DERSANI LC TP ML | 19.4000 | 15.7600 | 3.6400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 77.8800 | 74.1700 | 3.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.9400 | 0.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.9400 | 0.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 3.0080 | 2.1820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.9760 | 1.4340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 308.7600 | 282.2961 | 26.4639 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1502 | 13.2298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | 6.9000 | 0.9900 | 5.9100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4650 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4650 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6874 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1756 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1600 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7076 | 0.2924 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7076 | 0.2924 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857814941 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.6000 | 0.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.6000 | 0.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2410 | 0.2690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2410 | 0.2690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6170 | 0.3830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1590 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1590 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1194 | 0.1406 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3067 | 0.0233 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3067 | 0.0233 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 63f5f65c246cf250cf1777fe71db1d3a | MARIA | NULL | NULL | 11798732430 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c1c04f2f6ed6b11970c617a5b4c70de7 | FABIO | NULL | NULL | 11805120630 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c1c04f2f6ed6b11970c617a5b4c70de7 | FABIO | NULL | NULL | 11805120630 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c98a28fdb952ff1b7944a4beef97759f | VIOLETA | NULL | NULL | 11639736930 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c98a28fdb952ff1b7944a4beef97759f | VIOLETA | NULL | NULL | 11639736930 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 0.0000 | 16.1771 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 98d84ac332d267c79f65dcf2e74bbcb9 | SEBASTIAO | NULL | NULL | 11676108934 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 98d84ac332d267c79f65dcf2e74bbcb9 | SEBASTIAO | NULL | NULL | 11676108934 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f85349411240cc4bea35c1a684af7a4e | ROSILENE | NULL | NULL | 11876908138 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f85349411240cc4bea35c1a684af7a4e | ROSILENE | NULL | NULL | 11876908138 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 0.0000 | 16.2550 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 20370 | SONDA URETRAL Nş 12 UN | 0.0000 | 0.7558 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791513933 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 0.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 19496 | METILPREDNISOLONA (SUCCINATO SODICO | 0.0000 | 15.2783 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11857739533 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872479330 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872479330 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e0811fe1a62804bd78f94686f8320ba5 | CLEYTON | NULL | NULL | 11802054835 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 01759 | ATADURA CREPOM 20 CM UN | 0.0000 | 1.5372 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 24430 | FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866489135 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3e03a64ce435ea9499110d754da2cb47 | AMANDA | NULL | NULL | 11843121230 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3e03a64ce435ea9499110d754da2cb47 | AMANDA | NULL | NULL | 11843121230 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.1700 | 0.1698 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1797 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0100 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.9000 | 0.2900 | 0.6100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.9000 | 0.2900 | 0.6100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 42.6100 | 40.8482 | 1.7618 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 23.6700 | 22.6913 | 0.9787 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.5344 | 0.1956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3880 | 0.0120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.0360 | 0.0840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.0360 | 0.0840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.0360 | 0.0840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0900 | 0.0370 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3079 | 0.0221 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3079 | 0.0221 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.4839 | 0.4561 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 1.4000 | 0.5800 | 0.8200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.6000 | 0.2500 | 0.3500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.6661 | 0.3339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00126 | LUVA CIRURGICA UN | 4.3400 | 3.1600 | 1.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0600 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.0900 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 00124 | LUVA CIRURGICA UN | 5.7900 | 2.4795 | 3.3105 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1330 | 0.3970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4080 | 0.1020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.3850 | 0.5150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 2.6600 | 2.0180 | 0.6420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3728 | 0.0272 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.8740 | 0.3260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0589 | 0.5311 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.0000 | 2.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7040 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3220 | 0.2180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3220 | 0.2180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3220 | 0.2180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00124 | LUVA CIRURGICA UN | 5.7900 | 5.7840 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 101001 | DIARIA DE ENFERMARIA | 173.3200 | 0.0000 | 173.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.0000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.0000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.0000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00371 | PARACETAMOL 500 MG + CODEINA 30 MG CP VO UN | 0.9800 | 0.0000 | 0.9800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00371 | PARACETAMOL 500 MG + CODEINA 30 MG CP VO UN | 0.9800 | 0.0000 | 0.9800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00371 | PARACETAMOL 500 MG + CODEINA 30 MG CP VO UN | 0.9800 | 0.0000 | 0.9800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.2000 | 0.1890 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0448 | 0.0052 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0448 | 0.0052 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8110 | 0.1890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 52771 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3P13T EV | 14.0700 | 14.0656 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2120 | 0.0480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11790566530 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11790566530 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 1.6156 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11790566530 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 08e4d66f0f8768725b9bb899442d7b1b | WALQUIRIA | NULL | NULL | 11810543038 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 110.5380 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 34010106 | TOMOGRAFIA COMPUTADORIZADA DA PELVE | 0.0000 | 0.0000 | NULL | EXAMES COMPLEMENTARES NAO JUSTIFICA | 0502 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 20010150 | ECODOPPLER ESFORCO OU STRESS FARMAC | 0.0000 | 0.0000 | NULL | EXAMES COMPLEMENTARES SEM LAUDO E/O | 0504 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 000501 | OXIGENIO | 0.0000 | 905.6960 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 15210 | NORIPURUM EV 20 MG/ML 5 ML SI IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.2560 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11862679347 | 24791 | CATETER BALAO P/ ANGIOPLASTIA CORON | 0.0000 | 460.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 13404 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 2.5488 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 0.0000 | NULL | EXAMES COMPLEMENTARES NAO JUSTIFICA | 0502 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d2a77c5334898ed2bd6b1c1b87ca854e | ANNA | NULL | NULL | 11892066140 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.2560 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 96c9ceedc7107f0a443b3defe8785e2f | DIANA | NULL | NULL | 11828179413 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810839031 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7660 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 95e4e4514a7a6b44f03e529a554a2509 | FLAVIANNE | NULL | NULL | 11723842434 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 435cc5e799cf8fa6cacbd547161e7fba | JOSE | NULL | NULL | 11807517831 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 435cc5e799cf8fa6cacbd547161e7fba | JOSE | NULL | NULL | 11807517831 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1740 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | ed83d78412717ebd2330f122e649e29a | AUGUSTINHO | NULL | NULL | 11596153237 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4700 | 0.4700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836634 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4034 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 74d2fe0c6ba2c68b494c6879165e4d84 | IRACY | NULL | NULL | 11808393443 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 74d2fe0c6ba2c68b494c6879165e4d84 | IRACY | NULL | NULL | 11808393443 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00126 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2560 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9976 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 18988 | SCALP (TODOS) UN | 0.4000 | 0.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810846546 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.3840 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.1444 | 0.1456 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51163 | AGUA BIDESTILADA 250 ML | 11.5800 | 11.5800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6aaf25d0c2992ee27eb6cfce134cded0 | JOSE | NULL | NULL | 11791811247 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 4.3900 | 4.3884 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6aaf25d0c2992ee27eb6cfce134cded0 | JOSE | NULL | NULL | 11791811247 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2970 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2524 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.5000 | 1.5348 | -0.0348 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 51584 | ESPARADRAPO MICROPORE | 0.3986 | 0.3994 | -0.3694 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0300 | 0.0256 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3086 | 0.4157 | -0.2457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.5000 | 0.4505 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.9600 | 1.0091 | -0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 02247 | HIDROCORTISONA 500 MG PO IM IV FA | 6.3500 | 6.3500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3066 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 53051 | POLIPROPILENO AZUL MONOFILAMENTO Cardiovascular Aco 300 | 73.2200 | 73.2200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 17252 | LIDOCAINA 2% GE OU TP GR | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.5573 | -0.1773 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 1.1500 | 1.6720 | -0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2596 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2771 | -0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.5100 | 0.6929 | -0.1829 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9313 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 3ddbe0467197d67f2d3f7c602514920e | NILZA | NULL | NULL | 11887585741 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 3ddbe0467197d67f2d3f7c602514920e | NILZA | NULL | NULL | 11887585741 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 3ddbe0467197d67f2d3f7c602514920e | NILZA | NULL | NULL | 11887585741 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0000 | 0.0150 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 13757 | IODOPOVIDONA SD TP ML | 0.0000 | 0.4000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 23914 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 01759 | ATADURA CREPOM 20 CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 02720 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11821809845 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11821809845 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 17db6ae646cf3b24117dd09571f18089 | ALMY | NULL | NULL | 11873835430 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 17db6ae646cf3b24117dd09571f18089 | ALMY | NULL | NULL | 11873835430 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 34010173 | TOMOGRAFIA COMPUTADORIZADA DE ABDOM | 0.0000 | 477.0390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11861139439 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11861139439 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11861139439 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11754678530 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f23b9d477a44da8110a6efcdc6d0fb9f | EULICE | NULL | NULL | 11725043633 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 0.5987 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f23b9d477a44da8110a6efcdc6d0fb9f | EULICE | NULL | NULL | 11725043633 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.9993 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f23b9d477a44da8110a6efcdc6d0fb9f | EULICE | NULL | NULL | 11725043633 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11872109044 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.9990 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0009ba6bad5451e560474ca63122de13 | EVALDO | NULL | NULL | 11829428335 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 95e4e4514a7a6b44f03e529a554a2509 | FLAVIANNE | NULL | NULL | 11723842434 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f47a94061fd464a75276359e386b5791 | GENERONCIO | NULL | NULL | 11817891534 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f47a94061fd464a75276359e386b5791 | GENERONCIO | NULL | NULL | 11817891534 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.0000 | 1.8674 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843551034 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 1.1974 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843551034 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 96aca2102ab122b1b57bb31e4e5bd131 | GERALDINA | NULL | NULL | 11829669633 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 96aca2102ab122b1b57bb31e4e5bd131 | GERALDINA | NULL | NULL | 11829669633 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11817085435 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11817085435 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11698074734 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.0000 | 0.1560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1afd3b3f842202a508f71ef4811ac75a | HELOAH | NULL | NULL | 11810848433 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 6.8164 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1afd3b3f842202a508f71ef4811ac75a | HELOAH | NULL | NULL | 11810848433 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.3075 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1afd3b3f842202a508f71ef4811ac75a | HELOAH | NULL | NULL | 11810848433 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820252938 | 33227 | LUVA CIRURGICA UN | 0.0000 | 2.8950 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820252938 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820252938 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 435cc5e799cf8fa6cacbd547161e7fba | JOSE | NULL | NULL | 11807517831 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e0dbb7bef69a187b5b376c8a039654b2 | JUAREZ | NULL | NULL | 11727249234 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.0266 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 11705601835 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 124e9cf5b336a089646beba6933bf1be | KARLA | NULL | NULL | 11803808035 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 3.3952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 15016 | NITROPRUSSIATO DE SODIO 50 MG + DIL | 0.0000 | 27.3393 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 4.1178 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3ebc79b10ebfb3666ee494caadd40f6c | MANOELA | NULL | NULL | 11723943437 | 11290 | HIDROCORTISONA 100 MG PO IM IV FA | 0.0000 | 5.6696 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 02956e43f656c90a124516e4608ae71c | MARCIA | NULL | NULL | 11817910237 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.0266 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 02956e43f656c90a124516e4608ae71c | MARCIA | NULL | NULL | 11817910237 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 01b65cae7e1c979708ab72a46c9dd33f | MARIA | NULL | NULL | 11779209030 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bce83428ddaef831cd5652e2dee0f666 | MARIA | NULL | NULL | 11675671233 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bce83428ddaef831cd5652e2dee0f666 | MARIA | NULL | NULL | 11675671233 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11831061738 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3790 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1950 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3710 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51584 | ESPARADRAPO MICROPORE | 1.7900 | 1.3040 | 0.4860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.0329 | 0.6571 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 13.7200 | 0.6533 | 13.0667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2781 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 54685 | POLVIDINE ALCOOLICA | 1.2000 | 0.0000 | 1.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11754678530 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5988 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3984 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.4700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.4600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.5320 | 0.2680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.5320 | 0.2680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00125 | LUVA CIRURGICA UN | 2.9000 | 0.9950 | 1.9050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4680 | 0.3020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2081 | 3.2019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2440 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2678 | 0.1322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2678 | 0.1322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5424 | 0.2676 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4525 | 0.0275 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4525 | 0.0275 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4525 | 0.0275 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00125 | LUVA CIRURGICA UN | 5.7900 | 4.0910 | 1.6990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00557 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.6443 | 0.0257 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11717219830 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 1.1974 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864650230 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864650230 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864650230 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.3990 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11876657234 | 07293 | DIPIRONA GOTAS 500 MG/ML SO VO GT | 0.0000 | 0.2480 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11876657234 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857749834 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 22730 | LIDOCAINA 2% C/ VASO SI PE ML | 0.0000 | 13.6260 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 01929 | ATROPINA 0,50 MG SI IV AP | 0.0000 | 0.6489 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11808889232 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6dd04c2da28ee38ae6e8ba6af8296ef | MARIA | NULL | NULL | 11591043232 | 19143 | SERINGA DESC 05 ML UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2120 | 0.3180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2120 | 0.3180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 0.0000 | 16.1771 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.9993 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 19178 | SERINGA DESC 60 ML UN | 0.0000 | 10.3762 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 0.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 11.5176 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872479330 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c98a28fdb952ff1b7944a4beef97759f | VIOLETA | NULL | NULL | 11639736930 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11843120635 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1590 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2410 | 0.2690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2410 | 0.2690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857814941 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1600 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1600 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1756 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6874 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4760 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4650 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.9400 | 0.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.9400 | 0.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5300 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4047 | 0.4053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4047 | 0.4053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4047 | 0.4053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1830 | 0.3470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7860 | 0.2140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1350 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1350 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5897 | 0.1003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5888 | 0.1012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5888 | 0.1012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.6200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.6200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | 0.6900 | 0.5900 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1730 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.3390 | 0.1710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01137 | SONDA URETRAL N 12 UN | 0.7600 | 0.7550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01137 | SONDA URETRAL N 12 UN | 0.7600 | 0.7550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1610 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3500 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3500 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0400 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0170 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 55223 | Pirimetamina 25mg - Cpr | 0.2000 | 0.1640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 55223 | Pirimetamina 25mg - Cpr | 0.2000 | 0.1640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 55223 | Pirimetamina 25mg - Cpr | 0.2000 | 0.1640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 55223 | Pirimetamina 25mg - Cpr | 0.2000 | 0.1640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 55223 | Pirimetamina 25mg - Cpr | 0.2000 | 0.1640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3247 | 0.0753 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4893 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4893 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 7.4600 | 7.4580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54653 | DERSANI LC TP ML | 9.7000 | 4.8500 | 4.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54653 | DERSANI LC TP ML | 19.4000 | 9.7000 | 9.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54687 | IODOPOVIDONA SD TP ML | 0.2000 | 0.0900 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35522 | POLIMIXINA B 500.000 UI PO IM IT IV FA | 389.9500 | 250.9600 | 138.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54685 | POLVIDINE ALCOOLICA | 0.3000 | 0.1600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7840 | 0.2160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9800 | 4.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9700 | 4.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9700 | 4.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2100 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 8.4000 | 7.4100 | 0.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0958 | 0.2742 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 18.0000 | 16.5000 | 1.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.2000 | 0.1280 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4860 | 0.0440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4840 | 0.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 0.9680 | 0.1120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2573 | 0.0727 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.0310 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 32050038 | RX Tórax: P. A. | 15.7500 | 12.6020 | 3.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2676 | -0.0076 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5353 | -0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.6700 | 0.6752 | -0.0052 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 1.6206 | -0.0206 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1740 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4064 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 11.8800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.8000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2100 | 0.2100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 1.2400 | 1.8316 | -0.5916 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1740 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 52956 | FIO MONONYLON 0 C/ AGULHA 2,0 3/8 14505T UN UN | 14.9100 | 14.9100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.2587 | 0.4113 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.3022 | -0.2722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.6044 | -0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.6044 | -0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.6044 | -0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3022 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0268 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2368 | 0.0232 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.2700 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1731 | 0.0669 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 10.2500 | 7.1943 | 3.0557 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9976 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.7700 | 0.0000 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4252 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 52771 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3P13T EV | 28.1300 | 28.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 52770 | Fio vicryl 3-0 | 61.4900 | 61.4852 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00856 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 27.3400 | 27.3400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00856 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 27.3400 | 27.3400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00856 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 27.3400 | 27.3400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51379 | SERINGA DESC 05 ML UN | 1.5400 | 1.5376 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.1789 | -0.1789 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.9648 | -0.2948 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 01585 | DOPAMINA 5 MG/ML 10 ML SI IV AP | 4.9500 | 4.9500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2756 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 02247 | HIDROCORTISONA 500 MG PO IM IV FA | 6.3500 | 6.3444 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00856 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 27.3400 | 27.3400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00856 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 27.3400 | 27.3400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 53051 | POLIPROPILENO AZUL MONOFILAMENTO Cardiovascular Aco 300 | 36.6100 | 36.6100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2f854de70d3fd96f252b56d7365d892b | ANA | NULL | NULL | 11745846233 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11775093633 | 01899 | AMIODARONA 50 MG/ML 3ML SI IV AP | 0.0000 | 4.3896 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7a6d98219289584b76ce5993096f5664 | AUGUSTO | NULL | NULL | 11817847634 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7a6d98219289584b76ce5993096f5664 | AUGUSTO | NULL | NULL | 11817847634 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11706199130 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11706199130 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11706199130 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11704479331 | 10626 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 0.5474 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11704479331 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 24c7a189d55648ee51fabca3bb04037a | CAROENE | NULL | NULL | 11810763238 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 24c7a189d55648ee51fabca3bb04037a | CAROENE | NULL | NULL | 11810763238 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11797032133 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c834ff3ed3ac7af93247dafdc879e033 | DALVA | NULL | NULL | 11824298630 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fb2d3eadccc82ffa38b0adbb5e16123f | DEUCELIA | NULL | NULL | 11737021639 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fb2d3eadccc82ffa38b0adbb5e16123f | DEUCELIA | NULL | NULL | 11737021639 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | ef678515381939d9342664b96e7308c7 | EDSON | NULL | NULL | 11733887135 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | ef678515381939d9342664b96e7308c7 | EDSON | NULL | NULL | 11733887135 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810846546 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810839031 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 3ddbe0467197d67f2d3f7c602514920e | NILZA | NULL | NULL | 11887585741 | 20575 | SORO FISIOLOGICO 0,9% 1000 ML SI I | 0.0000 | 11.6780 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 11.5760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 3.6892 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 1.9986 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 0.0000 | 37.9856 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 11.1188 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 15016 | NITROPRUSSIATO DE SODIO 50 MG + DIL | 0.0000 | 27.3393 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 0.0000 | 16.1771 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830071032 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 610f12e03f998dc6757d0157b820075b | VERA | NULL | NULL | 11790966139 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 0.0000 | 7.8894 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.6390 | 0.5610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6840 | 0.0860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2844 | 0.1156 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4600 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.0000 | 0.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.0000 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.0000 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51195 | Prednisolona 20mg Cp. | 1.5000 | 0.0000 | 1.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 0.0000 | 36.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 37831 | NEURONTIN 300MG 30 CP | 1.4700 | 0.0000 | 1.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00124 | LUVA CIRURGICA UN | 5.7900 | 4.0516 | 1.7384 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00558 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.6650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4430 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6067 | 0.2033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 0.9064 | 0.3036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1428 | 0.2572 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 0.4317 | 0.7783 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.9500 | 1.7578 | 0.1922 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4810 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4710 | 0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4710 | 0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8832 | 1.8868 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.1400 | 3.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0885 | 3.3215 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2520 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 1.3529 | 8.1171 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.9700 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7080 | 0.2920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7040 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 0.7538 | 3.0162 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0590 | 0.5310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.4440 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 1.5890 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11871758430 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843704830 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bc0aaa5a07c86f12475641a70a287f26 | GLAUCE | NULL | NULL | 11746693433 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bc0aaa5a07c86f12475641a70a287f26 | GLAUCE | NULL | NULL | 11746693433 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.7980 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11810539330 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836634 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.0000 | 0.1593 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836634 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 85deaf02df0c2e477b92eab40e5585a2 | ISAURA | NULL | NULL | 11772106738 | 20370 | SONDA URETRAL Nş 12 UN | 0.0000 | 0.7558 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 11.5176 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2e7873e3e1a70aa7debf49ee5c2c7f27 | IZABEL | NULL | NULL | 11802066237 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2e7873e3e1a70aa7debf49ee5c2c7f27 | IZABEL | NULL | NULL | 11802066237 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2e7873e3e1a70aa7debf49ee5c2c7f27 | IZABEL | NULL | NULL | 11802066237 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 95d89bcfe80dc36072ad224970c015ec | JANETE | NULL | NULL | 11870570331 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 95d89bcfe80dc36072ad224970c015ec | JANETE | NULL | NULL | 11870570331 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 95d89bcfe80dc36072ad224970c015ec | JANETE | NULL | NULL | 11870570331 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11875810332 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 0.5987 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 01546 | METARAMINOL 10 MG 1 ML SI IM SC IV | 0.0000 | 4.5060 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 0.0000 | 16.1771 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 85deaf02df0c2e477b92eab40e5585a2 | ISAURA | NULL | NULL | 11772106738 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 85deaf02df0c2e477b92eab40e5585a2 | ISAURA | NULL | NULL | 11772106738 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 08460 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U | 0.0000 | 16.3969 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9050 | 0.0550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2678 | 0.1322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2678 | 0.1322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2678 | 0.1322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2678 | 0.1322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2678 | 0.1322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2081 | 3.2019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2081 | 3.2019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2081 | 3.2019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1500 | 0.1100 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.0850 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 04259 | DRENO DE SUCCAO | 26.0000 | 8.6700 | 17.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.5320 | 0.2680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6872 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6872 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 1.2000 | 0.9300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3984 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11754678530 | 00098 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11754678530 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00125 | LUVA CIRURGICA UN | 5.7900 | 3.0800 | 2.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00124 | LUVA CIRURGICA UN | 4.3400 | 2.3100 | 2.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3820 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.1940 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 54685 | POLVIDINE ALCOOLICA | 1.2000 | 0.0000 | 1.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.3400 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 10.5600 | 10.5555 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2890 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2890 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 32.9500 | 5.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3710 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3790 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.2000 | 0.1890 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.2000 | 0.1890 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11831061738 | 01899 | AMIODARONA 50 MG/ML 3ML SI IV AP | 0.0000 | 17.5584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bce83428ddaef831cd5652e2dee0f666 | MARIA | NULL | NULL | 11675671233 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e059645a816c79f801859032d54334d6 | MARIA | NULL | NULL | 11653454440 | 23990 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3 | 0.0000 | 14.0656 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 01b65cae7e1c979708ab72a46c9dd33f | MARIA | NULL | NULL | 11779209030 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 01546 | METARAMINOL 10 MG 1 ML SI IM SC IV | 0.0000 | 4.5060 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 19178 | SERINGA DESC 60 ML UN | 0.0000 | 10.3762 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 02956e43f656c90a124516e4608ae71c | MARCIA | NULL | NULL | 11817910237 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.3971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3ebc79b10ebfb3666ee494caadd40f6c | MANOELA | NULL | NULL | 11723943437 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6a746080400e8165df6955a40cdf17ff | LUCIMAR | NULL | NULL | 11705666938 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 435cc5e799cf8fa6cacbd547161e7fba | JOSE | NULL | NULL | 11807517831 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 435cc5e799cf8fa6cacbd547161e7fba | JOSE | NULL | NULL | 11807517831 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 0.0000 | 16.2550 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 55913 | CISATRACURIO 10 MG 5 ML SI IV FR | 0.0000 | 60.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 61824 | LEVOBUPIVACAINA 0,75 C / VASO SI P | 0.0000 | 29.8160 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 01899 | AMIODARONA 50 MG/ML 3ML SI IV AP | 0.0000 | 13.1688 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1afd3b3f842202a508f71ef4811ac75a | HELOAH | NULL | NULL | 11810848433 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11698074734 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.9993 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11698074734 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11817085435 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843551034 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 95e4e4514a7a6b44f03e529a554a2509 | FLAVIANNE | NULL | NULL | 11723842434 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f23b9d477a44da8110a6efcdc6d0fb9f | EULICE | NULL | NULL | 11725043633 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 3.3952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f23b9d477a44da8110a6efcdc6d0fb9f | EULICE | NULL | NULL | 11725043633 | 01899 | AMIODARONA 50 MG/ML 3ML SI IV AP | 0.0000 | 13.1688 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7be31b3f781765a40b786f2034bc0295 | EUFRAZIO | NULL | NULL | 11713822035 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7be31b3f781765a40b786f2034bc0295 | EUFRAZIO | NULL | NULL | 11713822035 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11861139439 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1fb888a692bccc089af5d2b8b27bce6c | ERIKA | NULL | NULL | 11634771436 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 17db6ae646cf3b24117dd09571f18089 | ALMY | NULL | NULL | 11873835430 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 17db6ae646cf3b24117dd09571f18089 | ALMY | NULL | NULL | 11873835430 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.7680 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 3.4971 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 98.2560 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 104.5100 | 104.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00182 | SULFATO DE MAGNESIO 500 MG/ML 10 ML SI IM IV AP | 1.3600 | 1.3600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00182 | SULFATO DE MAGNESIO 500 MG/ML 10 ML SI IM IV AP | 1.3600 | 1.3600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 29.2000 | 29.2000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2788 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 3.9295 | -0.5995 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 1.2800 | 0.6208 | 0.6592 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3773 | 0.3927 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2556 | 0.2544 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2722 | 0.1461 | 0.1139 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.0622 | 0.0487 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.0622 | 0.0487 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.0422 | 0.0365 | -0.0065 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.0422 | 0.0365 | -0.0065 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00182 | SULFATO DE MAGNESIO 500 MG/ML 10 ML SI IM IV AP | 1.3600 | 1.3546 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 17.5200 | 17.5140 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.3400 | 0.3393 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1731 | 0.0669 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1350 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1344 | 0.1256 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.3500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5852 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.6044 | -0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 3.2214 | -3.0114 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9349 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 11.8800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1870 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 10.3800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1128 | 0.4172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.7100 | 1.0466 | -0.3366 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.5233 | -0.1733 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8637 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9349 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.6700 | 0.6752 | -0.0052 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2676 | -0.0076 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2676 | -0.0076 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 1.5300 | 1.5159 | 0.0141 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.7309 | -0.0609 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 23.3600 | 23.3600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 21.1100 | 21.1100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 2.6900 | 1.0850 | 1.6050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.7100 | 0.0000 | 0.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1220 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9970 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4046 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.2517 | -0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8000 | 0.8000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8000 | 0.8000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1792 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.5453 | -0.3353 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.4236 | -0.2136 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.4236 | -0.2136 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0268 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2768 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5476 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5240 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5240 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.5340 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 3.7700 | 3.7600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.7200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.7700 | 0.4707 | 0.2993 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.9200 | 0.5613 | 0.3587 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.9200 | 0.5613 | 0.3587 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2770 | 0.1230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2680 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.6000 | 0.4020 | 0.1980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00098 | ABOCATH N 14 A 22 UN | 3.4700 | 2.3128 | 1.1572 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.1580 | 0.4420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.2000 | 0.0940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.1704 | 0.5096 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2715 | 3.1385 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3580 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3580 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.4700 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.4700 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.4700 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3600 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.3420 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51584 | ESPARADRAPO MICROPORE | 2.0500 | 0.9120 | 1.1380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5994 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5010 | 0.4990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7800 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5897 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | bdf5142bc4500f7c0434c03278c22a36 | FLAVIA | NULL | NULL | 11843154517 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 348bc5f9c9781d06ba59df9256136a1d | IZAIRA | NULL | NULL | 11843181819 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | a58bd8ea6333e0357848d980c0b52ad0 | JOSE | NULL | NULL | 11856686810 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 71f40b9c212f1536634fa8a680a1d740 | FABIO | NULL | NULL | 11867657718 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 2e8faeb7061823683b9b30ff242f8361 | ISENILDA | NULL | NULL | 11873369718 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | ca199ac23837c11627601997ae459f4d | ADRIANA | NULL | NULL | 11862482717 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | d829383de9ecd5722d26ee234f4e4917 | RAIMUNDA | NULL | NULL | 11818560910 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 30e78e58cf7313a1ece13b1f6a3b0d0c | GILDEON | NULL | NULL | 11875189512 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | d13ba62c15320c8d32a405e79a2ae24a | DEYSE | NULL | NULL | 11866564919 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836518 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 3f2f262aec608161be8d49b4b62763c9 | CHAFI | NULL | NULL | 11829890315 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | b17c65de105133b058783e570388e06d | VITOR | NULL | NULL | 11893081910 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 591428b77144a9b77c82d2b39b146309 | SERGIO | NULL | NULL | 11863224717 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 951e9e10a336d8a97208220d7f05ffb6 | MACARIA | NULL | NULL | 11815911010 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 78.3800 | 78.3792 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1251 | 0.1349 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6327 | 0.3673 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1757 | 0.0043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1757 | 0.0043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9013 | 0.0987 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9002 | 0.0998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5034 | 0.1666 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 2.0920 | 1.6780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.4566 | 1.0934 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 48.0000 | 40.9100 | 7.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2680 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2680 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2680 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.9890 | 0.2010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.5560 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54653 | DERSANI LC TP ML | 19.4000 | 9.2200 | 10.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54653 | DERSANI LC TP ML | 19.4000 | 9.2100 | 10.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54653 | DERSANI LC TP ML | 19.4000 | 9.2100 | 10.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 25.3244 | 12.6656 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 2.5707 | 3.8593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 2.5707 | 3.8593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 2.5707 | 3.8593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 2.5707 | 3.8593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0476 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0476 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0476 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00238 | ATADURA CREPOM 15 CM UN | 1.1700 | 0.8583 | 0.3117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00238 | ATADURA CREPOM 15 CM UN | 2.3300 | 1.7092 | 0.6208 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.2707 | 0.3193 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5617 | 0.1383 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5617 | 0.1383 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4380 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 66.7300 | 6.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0800 | 1.8600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d8275d7e1b4720d2b25cb8765ee329eb | RICARDO | NULL | NULL | 11829312948 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5889 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.9370 | 0.7330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1460 | 0.1140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 15.5300 | 15.5244 | 0.0056 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.2135 | 0.4065 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4110 | 0.1890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.5015 | 0.1685 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0146 | 0.4354 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 37831 | NEURONTIN 300MG 30 CP | 1.4700 | 0.0000 | 1.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 0.0000 | 36.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.0000 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.0000 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.0000 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6910 | 0.1090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 27.0600 | 0.0000 | 27.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2838 | 0.1162 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2838 | 0.1162 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3060 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8832 | 1.8868 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6ccdd1d4b5d3b7769bf0664e7ef09371 | WALISON | NULL | NULL | 11790995936 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7659 | 0.2341 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 52771 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3P13T EV | 14.0700 | 14.0656 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 52771 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3P13T EV | 14.0700 | 14.0656 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11862679347 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11862679347 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1600 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0958 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.3057 | 2.3043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 10.5802 | 9.6998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 21.1605 | 19.3995 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.1100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11829310738 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6900 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 1.2800 | 1.1500 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 1.3800 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 42291 | COLETOR P/ INCOTINECIA URINARIA | 1.2700 | 0.9656 | 0.3044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 42291 | COLETOR P/ INCOTINECIA URINARIA | 1.2700 | 0.9656 | 0.3044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 42291 | COLETOR P/ INCOTINECIA URINARIA | 1.2700 | 0.9656 | 0.3044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1786 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.5995 | 0.4005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4800 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2500 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0320 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2530 | 0.2570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5100 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4088 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4088 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2f854de70d3fd96f252b56d7365d892b | ANA | NULL | NULL | 11745846233 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8176 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3220 | 0.2780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3220 | 0.2780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1800 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.3500 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4402 | 0.0498 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.0900 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2900 | 4.2870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 55223 | Pirimetamina 25mg - Cpr | 0.2000 | 0.1640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 2.9730 | 0.4270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5820 | 0.4180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3997 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11838328642 | 999999 | INSUMOS 40080200 | 976.3800 | 630.1800 | 346.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11857118648 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.0598 | 0.0702 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 9.0600 | 6.5300 | 2.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 02204 | SUPOSITORIO GLICERINA ADULTO SP VR UN | 0.8200 | 0.7600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4893 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030338 | 2e8faeb7061823683b9b30ff242f8361 | ISENILDA | NULL | NULL | 11873407828 | 32050054 | TORAX PA LAT | 0.0000 | 14.1474 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3293 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0980 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00124 | LUVA CIRURGICA UN | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5340 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 2.0000 | 2.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2861 | 0.2239 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1128 | 0.4172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 52339d70d59c638f8ef91d6b30010ff8 | VALDIVINO | NULL | NULL | 11723825139 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00238 | ATADURA CREPOM 15 CM UN | 1.1700 | 1.1659 | 0.0041 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0250 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2688 | -0.0088 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5376 | -0.0276 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e059645a816c79f801859032d54334d6 | MARIA | NULL | NULL | 11653454440 | 00124 | LUVA CIRURGICA UN | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52830 | Agua Bidestilada 1000ml | 8.9000 | 8.9000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 3ddbe0467197d67f2d3f7c602514920e | NILZA | NULL | NULL | 11887585741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 01929 | ATROPINA 0,50 MG SI IV AP | 0.6500 | 0.6500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 01929 | ATROPINA 0,50 MG SI IV AP | 0.6500 | 0.6478 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d8275d7e1b4720d2b25cb8765ee329eb | RICARDO | NULL | NULL | 11829312948 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00117 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS UN | 16.4000 | 16.3938 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 2.2100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.3300 | 1.3300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.8300 | 0.8300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6826 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 2.6550 | -2.3050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0268 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6420 | 0.3580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1792 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2756 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1228 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.0000 | 0.3500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4700 | 0.4102 | 0.0598 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 53070 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J186H EV | 18.1400 | 18.1400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 5.7900 | 5.7865 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 7.2400 | 7.2356 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 53880 | FIO ACIFLEX 2-0 S/ AG BSS - 28T EV | 0.0000 | 6.3554 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 0.0000 | 9.4964 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 08460 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U | 0.0000 | 16.3969 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 09091 | PROMETAZINA 25 MG/ML 2 ML SI IM IV | 0.0000 | 4.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 22730 | LIDOCAINA 2% C/ VASO SI PE ML | 0.0000 | 13.6260 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 95d89bcfe80dc36072ad224970c015ec | JANETE | NULL | NULL | 11870570331 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 85deaf02df0c2e477b92eab40e5585a2 | ISAURA | NULL | NULL | 11772106738 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 85deaf02df0c2e477b92eab40e5585a2 | ISAURA | NULL | NULL | 11772106738 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 11.5760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836634 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11810539330 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11810539330 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11810539330 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bc0aaa5a07c86f12475641a70a287f26 | GLAUCE | NULL | NULL | 11746693433 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bc0aaa5a07c86f12475641a70a287f26 | GLAUCE | NULL | NULL | 11746693433 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 5.1752 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843704830 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843704830 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3cec382940cde814366b829f5156e807 | DULCINEA | NULL | NULL | 11860769839 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.9990 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6400 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.0000 | 2.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 0.7536 | 3.0164 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 1.3529 | 8.1171 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5100 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2520 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2520 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2520 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1601 | 0.1599 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1601 | 0.1599 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4710 | 0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00124 | LUVA CIRURGICA UN | 4.3400 | 2.6506 | 1.6894 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00126 | LUVA CIRURGICA UN | 1.4500 | 0.8859 | 0.5641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2860 | 0.2240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1460 | 0.1140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 12.9400 | 12.9353 | 0.0047 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5899 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 0.0000 | 6.8200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.3077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00126 | LUVA CIRURGICA UN | 4.3400 | 3.0369 | 1.3031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.0148 | 0.4352 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 0.0000 | 2.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.8600 | 1.3550 | 0.5050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.8600 | 1.3550 | 0.5050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.0000 | 0.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.0000 | 0.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 37831 | NEURONTIN 300MG 30 CP | 1.4700 | 0.0000 | 1.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.0000 | 0.5100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 0.0000 | 1.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.0000 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.0000 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.0000 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2100 | 0.0700 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6910 | 0.1090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5748 | 0.2352 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2838 | 0.1162 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2838 | 0.1162 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.7900 | 1.5900 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 0.9580 | 0.8420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.6390 | 0.5610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3064 | 0.0236 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 610f12e03f998dc6757d0157b820075b | VERA | NULL | NULL | 11790966139 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 610f12e03f998dc6757d0157b820075b | VERA | NULL | NULL | 11790966139 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 610f12e03f998dc6757d0157b820075b | VERA | NULL | NULL | 11790966139 | 21822 | TRAMADOL 50 MG 1 ML SI IM IV AP | 0.0000 | 8.3892 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830071032 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830071032 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 02534 | BICARBONATO DE SODIO 8,4% 10 ML SI | 0.0000 | 0.7952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 17760 | FIO PROLENE 5-0 C/ AGULHA 1,5 1/2 9 | 0.0000 | 10.0559 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 24597 | FIO PROLENE 3-0 C/ AGULHA 2,0 1/2 | 0.0000 | 162.6750 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829313730 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829313730 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829313730 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829313730 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 67487b530d34314734fcf47c37285e70 | OSIEL | NULL | NULL | 11723345232 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 67487b530d34314734fcf47c37285e70 | OSIEL | NULL | NULL | 11723345232 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01899 | AMIODARONA 50 MG/ML 3ML SI IV AP | 0.0000 | 4.3896 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1a5c0b397236a920b1779fc97c7e0ee1 | MARISA | NULL | NULL | 11724082038 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 20370 | SONDA URETRAL Nş 12 UN | 0.0000 | 0.7558 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810839031 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810839031 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810846546 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fb2d3eadccc82ffa38b0adbb5e16123f | DEUCELIA | NULL | NULL | 11737021639 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fb2d3eadccc82ffa38b0adbb5e16123f | DEUCELIA | NULL | NULL | 11737021639 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fb2d3eadccc82ffa38b0adbb5e16123f | DEUCELIA | NULL | NULL | 11737021639 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 24c7a189d55648ee51fabca3bb04037a | CAROENE | NULL | NULL | 11810763238 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11704479331 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a9cf243687cbfaa641643ad6c257c937 | BIHANCA | NULL | NULL | 11837622936 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a9cf243687cbfaa641643ad6c257c937 | BIHANCA | NULL | NULL | 11837622936 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d2a77c5334898ed2bd6b1c1b87ca854e | ANNA | NULL | NULL | 11892066140 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d2a77c5334898ed2bd6b1c1b87ca854e | ANNA | NULL | NULL | 11892066140 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11775093633 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 07277 | DIPIRONA 500 MG CP VO UN | 0.0000 | 0.8160 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2f854de70d3fd96f252b56d7365d892b | ANA | NULL | NULL | 11745846233 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 3.3952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8128 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.2000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.3200 | 0.3200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2861 | 0.2239 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810846546 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6610 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e059645a816c79f801859032d54334d6 | MARIA | NULL | NULL | 11653454440 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9984 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 18716 | RISPERIDONA 1 MG CP VO UN | 1.0000 | 0.9980 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 1.4060 | -1.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 1.4060 | -1.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 1.4060 | -1.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 3ddbe0467197d67f2d3f7c602514920e | NILZA | NULL | NULL | 11887585741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4064 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3968 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d8275d7e1b4720d2b25cb8765ee329eb | RICARDO | NULL | NULL | 11829312948 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00117 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS UN | 16.4000 | 16.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 44.8500 | 44.8456 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 16.2200 | 16.2200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 51241 | AGULHA 123X45 | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4064 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1830 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 25.7400 | 25.7400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.4327 | -0.0527 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.7700 | 0.8654 | -0.0954 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.9600 | 1.0817 | -0.1217 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 2.3100 | 2.5961 | -0.2861 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5476 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 1.0378 | -0.7278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 1.0378 | -0.7278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1220 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.5453 | -0.3353 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2117 | -0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2731 | -0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4030 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3920 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 00124 | LUVA CIRURGICA UN | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 51379 | SERINGA DESC 05 ML UN | 0.5800 | 0.5045 | 0.0755 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.4450 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 53068 | FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371H EV | 20.0700 | 20.0670 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2562 | 0.0638 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00471 | LIDOCAINA 2% GE OU TP GR | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3656 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2791 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 02247 | HIDROCORTISONA 500 MG PO IM IV FA | 6.3500 | 6.3444 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4238 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2790 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5836 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.8800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0386 | -0.0386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00856 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 27.3400 | 27.3365 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00856 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 27.3400 | 27.3400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 40.5600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8330 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 0.7425 | 0.7975 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 1.2800 | 0.6208 | 0.6592 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3773 | 0.3927 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3773 | 0.3927 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2722 | 0.1461 | 0.1139 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2722 | 0.1461 | 0.1139 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7610 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 17.5200 | 17.5200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 3.1800 | 3.1788 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2789 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2789 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2789 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6734 | 0.3266 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0300 | 0.0158 | 0.0142 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2574 | 0.2526 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3570 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11797032133 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7be31b3f781765a40b786f2034bc0295 | EUFRAZIO | NULL | NULL | 11713822035 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5974 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 95e4e4514a7a6b44f03e529a554a2509 | FLAVIANNE | NULL | NULL | 11723842434 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3904 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 95e4e4514a7a6b44f03e529a554a2509 | FLAVIANNE | NULL | NULL | 11723842434 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f47a94061fd464a75276359e386b5791 | GENERONCIO | NULL | NULL | 11817891534 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 124e9cf5b336a089646beba6933bf1be | KARLA | NULL | NULL | 11803808035 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7622 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | ed83d78412717ebd2330f122e649e29a | AUGUSTINHO | NULL | NULL | 11596153237 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4700 | 0.4680 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2603 | -0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5828 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.1700 | 0.1632 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6aaf25d0c2992ee27eb6cfce134cded0 | JOSE | NULL | NULL | 11791811247 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6aaf25d0c2992ee27eb6cfce134cded0 | JOSE | NULL | NULL | 11791811247 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1485 | 0.1115 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 53051 | POLIPROPILENO AZUL MONOFILAMENTO Cardiovascular Aco 300 | 18.3100 | 18.3068 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 52769 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 1129T EV | 6.1600 | 6.1592 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5360 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0232 | -0.0232 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00904 | NORIPURUM EV 20 MG/ML 5 ML SI IV AP | 18.8200 | 18.8180 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 4.7700 | 4.7636 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9011 | 0.0989 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.4037 | -0.0237 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.7700 | 0.0000 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.6100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1720 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.3540 | -0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3096 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.9200 | 0.9200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 1.4184 | -1.0684 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 1.4184 | -1.0684 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 52956 | FIO MONONYLON 0 C/ AGULHA 2,0 3/8 14505T UN UN | 7.4600 | 7.4520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 52956 | FIO MONONYLON 0 C/ AGULHA 2,0 3/8 14505T UN UN | 7.4600 | 7.4600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.5233 | -0.1733 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8912 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2720 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 40.5600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 21.1100 | 21.1100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1026 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5120 | -0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6912 | 0.0788 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2304 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0250 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.5900 | 10.4500 | 3.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 4.5300 | 3.4900 | 1.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.4300 | 0.4289 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.4300 | 0.4289 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 68.0600 | 5.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1297 | 0.1303 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2330 | 0.0970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.9028 | 0.2772 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.9028 | 0.2772 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 9.3583 | 1.0217 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54653 | DERSANI LC TP ML | 19.4000 | 9.7000 | 9.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6864 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 61.4100 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 01759 | ATADURA CREPOM 20 CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 27545 | CAMPO IODOFORADO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 0.0000 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 102001 | DIARIA DE APARTAMENTO SIMPLES | 0.0000 | 2888.8790 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7080 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6f6607a2010496db7dd4a54c62b91f64 | WEVERTON | NULL | NULL | 11795317635 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6f6607a2010496db7dd4a54c62b91f64 | WEVERTON | NULL | NULL | 11795317635 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2120 | 0.0480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.0395 | 0.5105 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8170 | 0.1830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 2.7020 | 0.6280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0448 | 0.0052 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00371 | PARACETAMOL 500 MG + CODEINA 30 MG CP VO UN | 0.9800 | 0.0000 | 0.9800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00371 | PARACETAMOL 500 MG + CODEINA 30 MG CP VO UN | 0.9800 | 0.0000 | 0.9800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00371 | PARACETAMOL 500 MG + CODEINA 30 MG CP VO UN | 0.9800 | 0.0000 | 0.9800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00371 | PARACETAMOL 500 MG + CODEINA 30 MG CP VO UN | 0.9800 | 0.0000 | 0.9800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.0000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.0000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.0000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 02188 | ACICLOVIR 250 MG PO IV FA | 192.8900 | 0.0000 | 192.8900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 02188 | ACICLOVIR 250 MG PO IV FA | 192.8900 | 0.0000 | 192.8900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 02188 | ACICLOVIR 250 MG PO IV FA | 192.8900 | 0.0000 | 192.8900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00126 | LUVA CIRURGICA UN | 5.7900 | 3.7212 | 2.0688 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7040 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0590 | 0.5310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0589 | 0.5311 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2180 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3728 | 0.0272 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0180 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.5224 | 0.1476 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 51163 | AGUA BIDESTILADA 250 ML | 11.5800 | 11.5760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0220 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3760 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5060 | 0.0940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 18.0000 | 16.5000 | 1.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0958 | 0.2742 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 8.4000 | 7.4100 | 0.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9700 | 4.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 463.1400 | 231.5710 | 231.5690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35522 | POLIMIXINA B 500.000 UI PO IM IT IV FA | 389.9500 | 250.9600 | 138.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 75.9700 | 75.9662 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 9.3583 | 1.0217 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 9.3583 | 1.0217 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 9.3583 | 1.0217 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 7.2400 | 7.2356 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 4.9700 | 4.9686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.2396 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 02204 | SUPOSITORIO GLICERINA ADULTO SP VR UN | 0.8200 | 0.7500 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 02204 | SUPOSITORIO GLICERINA ADULTO SP VR UN | 0.8200 | 0.7600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 55223 | Pirimetamina 25mg - Cpr | 0.2000 | 0.1640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2900 | 4.2870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02177 | TENOXICAM 20 MG + DIL. 2 ML PO IM IV FA | 7.1600 | 4.7752 | 2.3848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0400 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 1.3700 | 1.2311 | 0.1389 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3500 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6100 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6100 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3220 | 0.2780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1610 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1610 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00031 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1751 | 0.0149 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 171.9400 | 162.8960 | 9.0440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 160.4400 | 152.0052 | 8.4348 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | 6.9000 | 5.9800 | 0.9200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4554 | 0.0246 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5888 | 0.1012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5888 | 0.1012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.3700 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7400 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7840 | 0.2160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7561 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0100 | 0.0060 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 0.3200 | 1.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1072 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 20010141 | Ecocardiograma Bidimensional com Mapeamento de Fluxo à Cores | 137.7500 | 68.8800 | 68.8700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1830 | 0.3470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1830 | 0.3470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1998 | 0.2002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 0.0000 | 6.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5300 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54653 | DERSANI LC TP ML | 9.7000 | 7.8800 | 1.8200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54653 | DERSANI LC TP ML | 9.7000 | 7.8900 | 1.8100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.9400 | 0.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.9760 | 1.4340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.9760 | 1.4340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 51379 | SERINGA DESC 05 ML UN | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | 0.6900 | 0.1000 | 0.5900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4650 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2590 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7076 | 0.2924 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857814941 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6160 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2410 | 0.2690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6170 | 0.3830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6170 | 0.3830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3728 | 0.0272 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3728 | 0.0272 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3728 | 0.0272 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6070 | 0.1930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.0292 | 0.8708 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1290 | 0.1710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00093 | SERINGA DESC 60 ML UN | 10.3800 | 3.4588 | 6.9212 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3512 | 0.0488 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 0.0000 | 4.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8621 | 0.1379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0130 | 0.0170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0260 | 0.0340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.6000 | 0.3000 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51241 | AGULHA 123X45 | 0.3800 | 0.2847 | 0.0953 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 63f5f65c246cf250cf1777fe71db1d3a | MARIA | NULL | NULL | 11798732430 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3432 | 0.0068 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.6000 | 14.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3079 | 0.0221 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.6100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.5800 | 0.8360 | -0.2560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.7700 | 1.1147 | -0.3447 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 3.3260 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3079 | 0.0221 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00856 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 27.3400 | 27.3351 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 14.4000 | 14.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.0422 | 0.0365 | -0.0065 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.0422 | 0.0365 | -0.0065 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2722 | 0.1461 | 0.1139 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3773 | 0.3927 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 78.3800 | 78.3800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 0.0000 | 7.8894 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11775093633 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 3.3952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11775093633 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11775093633 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fee4258fac7a95841c7e070ca0661700 | ANTONIO | NULL | NULL | 11772447639 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fee4258fac7a95841c7e070ca0661700 | ANTONIO | NULL | NULL | 11772447639 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fee4258fac7a95841c7e070ca0661700 | ANTONIO | NULL | NULL | 11772447639 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fee4258fac7a95841c7e070ca0661700 | ANTONIO | NULL | NULL | 11772447639 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fee4258fac7a95841c7e070ca0661700 | ANTONIO | NULL | NULL | 11772447639 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7a6d98219289584b76ce5993096f5664 | AUGUSTO | NULL | NULL | 11817847634 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7a6d98219289584b76ce5993096f5664 | AUGUSTO | NULL | NULL | 11817847634 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7a6d98219289584b76ce5993096f5664 | AUGUSTO | NULL | NULL | 11817847634 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a9cf243687cbfaa641643ad6c257c937 | BIHANCA | NULL | NULL | 11837622936 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.9993 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a9cf243687cbfaa641643ad6c257c937 | BIHANCA | NULL | NULL | 11837622936 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 24c7a189d55648ee51fabca3bb04037a | CAROENE | NULL | NULL | 11810763238 | 10626 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 0.5474 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 212127c045e14d61f215a552b6fb2d94 | CECILIA | NULL | NULL | 11798721938 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11797032133 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c834ff3ed3ac7af93247dafdc879e033 | DALVA | NULL | NULL | 11824298630 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d7950724c3cb4740081170c6a4d75e1 | EDUARDO | NULL | NULL | 11722125234 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810846546 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810839031 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 17.8100 | 17.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830071032 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830071032 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00922 | AMINOFILINA 24 MG/ML 10 ML SI IM I | 0.0000 | 0.6685 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 07390 | DOBUTAMINA 250 MG 20 ML SI IV FR | 0.0000 | 20.9885 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 26.7476 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829313730 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d8275d7e1b4720d2b25cb8765ee329eb | RICARDO | NULL | NULL | 11829312948 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 0.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.0360 | 0.0840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 2.0000 | 1.6600 | 0.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2561 | 0.1439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7780 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.5344 | 0.1956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.6152 | 0.3248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 29645 | ISOSSORBIDA 10 MG/ML 1 ML SI IV IC | 0.0000 | 2.0193 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 67487b530d34314734fcf47c37285e70 | OSIEL | NULL | NULL | 11723345232 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 57908 | SORO RINGER COM LACTATO 500 ML SI | 0.0000 | 5.2778 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2610 | 0.2490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 902001 | PLANTAO DE UTI POR PACIENTE (HONORA | 0.0000 | 2805.3632 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 2.7669 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 27600 | ONDANSETRONA 2 MG/ML 4 ML SI IM I | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 17db6ae646cf3b24117dd09571f18089 | ALMY | NULL | NULL | 11873835430 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.9000 | 0.2900 | 0.6100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 2.6600 | 2.5040 | 0.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.4692 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 0.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7fbed525c167f3b67f84c3a929b9fd93 | CARLOS | NULL | NULL | 11841939032 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7fbed525c167f3b67f84c3a929b9fd93 | CARLOS | NULL | NULL | 11841939032 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866489135 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 07293 | DIPIRONA GOTAS 500 MG/ML SO VO GT | 0.0000 | 0.8680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 27162 | ROPIVACAINA 10 MG/ML 20 ML SI PE M | 0.0000 | 2.0052 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 57908 | SORO RINGER COM LACTATO 500 ML SI | 0.0000 | 10.5556 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 24538 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J | 0.0000 | 18.1366 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e0811fe1a62804bd78f94686f8320ba5 | CLEYTON | NULL | NULL | 11802054835 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.2055 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 19143 | SERINGA DESC 05 ML UN | 0.0000 | 0.5766 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 204583ae168141c465bdb5db8983b68d | ONOFRE | NULL | NULL | 11694161036 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f85349411240cc4bea35c1a684af7a4e | ROSILENE | NULL | NULL | 11876908138 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f85349411240cc4bea35c1a684af7a4e | ROSILENE | NULL | NULL | 11876908138 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 98d84ac332d267c79f65dcf2e74bbcb9 | SEBASTIAO | NULL | NULL | 11676108934 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.3075 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11861139439 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11754678530 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11754678530 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11754678530 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f23b9d477a44da8110a6efcdc6d0fb9f | EULICE | NULL | NULL | 11725043633 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.7980 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0009ba6bad5451e560474ca63122de13 | EVALDO | NULL | NULL | 11829428335 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 95e4e4514a7a6b44f03e529a554a2509 | FLAVIANNE | NULL | NULL | 11723842434 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 95e4e4514a7a6b44f03e529a554a2509 | FLAVIANNE | NULL | NULL | 11723842434 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 96aca2102ab122b1b57bb31e4e5bd131 | GERALDINA | NULL | NULL | 11829669633 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 1.6156 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11817085435 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11817085435 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11698074734 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.2055 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 24538 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J | 0.0000 | 18.1366 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 45611806e20180702368acb7d7711e5b | JOAO | NULL | NULL | 11682782439 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.3971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 435cc5e799cf8fa6cacbd547161e7fba | JOSE | NULL | NULL | 11807517831 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 11705601835 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 11705601835 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 11705601835 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 124e9cf5b336a089646beba6933bf1be | KARLA | NULL | NULL | 11803808035 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 124e9cf5b336a089646beba6933bf1be | KARLA | NULL | NULL | 11803808035 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 124e9cf5b336a089646beba6933bf1be | KARLA | NULL | NULL | 11803808035 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857814941 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.6150 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 2.8794 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6a746080400e8165df6955a40cdf17ff | LUCIMAR | NULL | NULL | 11705666938 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6a746080400e8165df6955a40cdf17ff | LUCIMAR | NULL | NULL | 11705666938 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6a746080400e8165df6955a40cdf17ff | LUCIMAR | NULL | NULL | 11705666938 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6a746080400e8165df6955a40cdf17ff | LUCIMAR | NULL | NULL | 11705666938 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 02956e43f656c90a124516e4608ae71c | MARCIA | NULL | NULL | 11817910237 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.0256 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 02956e43f656c90a124516e4608ae71c | MARCIA | NULL | NULL | 11817910237 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 02956e43f656c90a124516e4608ae71c | MARCIA | NULL | NULL | 11817910237 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 01899 | AMIODARONA 50 MG/ML 3ML SI IV AP | 0.0000 | 13.1688 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e059645a816c79f801859032d54334d6 | MARIA | NULL | NULL | 11653454440 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11831061738 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 3.1768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.2000 | 0.1890 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.2000 | 0.1890 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3790 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.6000 | 0.5690 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 32.9500 | 5.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 32.9500 | 5.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 32.9500 | 5.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 77.8800 | 65.9000 | 11.9800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2890 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5853 | 0.2247 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5853 | 0.2247 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.3400 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3820 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3820 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 1.1550 | 0.4450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11754678530 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11754678530 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.6300 | 13.6236 | 0.0064 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 1.4400 | 1.3225 | 0.1175 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.4600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.9000 | 0.7000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.5320 | 0.2680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.4970 | 0.9530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00126 | LUVA CIRURGICA UN | 4.3400 | 1.4900 | 2.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00124 | LUVA CIRURGICA UN | 5.7900 | 1.9880 | 3.8020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 04259 | DRENO DE SUCCAO | 26.0000 | 8.6600 | 17.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.0850 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2081 | 3.2019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2081 | 3.2019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2690 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2678 | 0.1322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2678 | 0.1322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2678 | 0.1322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2678 | 0.1322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5424 | 0.2676 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4525 | 0.0275 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0340 | 0.4160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2475 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.4870 | 0.1230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11717219830 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864650230 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 27103 | CLORIDRATO DE PAPAVERINA 50 MG/ML 2 | 0.0000 | 13.1870 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 34010173 | TOMOGRAFIA COMPUTADORIZADA DE ABDOM | 0.0000 | 477.0390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6dd04c2da28ee38ae6e8ba6af8296ef | MARIA | NULL | NULL | 11591043232 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.1888 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 0.5987 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 2.7452 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 0.0000 | 8.1275 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 24538 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J | 0.0000 | 18.1366 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11843550832 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c98a28fdb952ff1b7944a4beef97759f | VIOLETA | NULL | NULL | 11639736930 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11843120635 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11843120635 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 98d84ac332d267c79f65dcf2e74bbcb9 | SEBASTIAO | NULL | NULL | 11676108934 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 98d84ac332d267c79f65dcf2e74bbcb9 | SEBASTIAO | NULL | NULL | 11676108934 | 32190 | CLORETO DE POTASSIO 10% 10 ML SI I | 0.0000 | 1.1868 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2120 | 0.0480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.4160 | 0.0940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 40.5567 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1500 | 0.1200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 2.4000 | 1.8000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 4.3000 | 4.2950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8110 | 0.1890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0448 | 0.0052 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.0000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.0000 | 0.8100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 19917 | SONDA NASOGASTRICA LONGA Nş 18 UN | 0.0000 | 1.0889 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | dc6d89154e6aa49bf117fa70c97bc399 | THIAGO | NULL | NULL | 11823673610 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843092817 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 13938d590bce2ec39ec47f0f3e8d0668 | LUIZ | NULL | NULL | 11813604413 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 47dfa7aa34b3884a673916d28f94c56f | JOSE | NULL | NULL | 11839378513 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | c62c7156bbf5199eb5f845eaaedd8557 | VANIA | NULL | NULL | 11873353315 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | d8275d7e1b4720d2b25cb8765ee329eb | RICARDO | NULL | NULL | 11829270810 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | bd8e516a1112b6f388be2fe439c82a3a | MICHEL | NULL | NULL | 11877944415 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11810531510 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 5b74a99a7082d582d01dfaa7340b71b4 | LUDMILA | NULL | NULL | 11810582617 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | f43cacb2b7bf0b78df7ee0288103daa0 | GERALDO | NULL | NULL | 11897300710 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 1d31288b8a8c3421812b64f2c722b646 | MARIA | NULL | NULL | 11893275510 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1600 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1756 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1756 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1756 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6874 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4650 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4650 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4650 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0760 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.9400 | 0.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.9400 | 0.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0800 | 1.8600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5300 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5200 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4047 | 0.4053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54687 | IODOPOVIDONA SD TP ML | 0.8000 | 0.2300 | 0.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.3431 | 0.3469 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 2.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c98a28fdb952ff1b7944a4beef97759f | VIOLETA | NULL | NULL | 11639736930 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c1c04f2f6ed6b11970c617a5b4c70de7 | FABIO | NULL | NULL | 11805120630 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c1c04f2f6ed6b11970c617a5b4c70de7 | FABIO | NULL | NULL | 11805120630 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 63f5f65c246cf250cf1777fe71db1d3a | MARIA | NULL | NULL | 11798732430 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1830 | 0.3470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1060 | 0.4240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.2120 | 0.8480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7840 | 0.2160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1251 | 0.1349 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6327 | 0.3673 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6327 | 0.3673 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0110 | 0.0190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0110 | 0.0190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 0.0000 | 4.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5034 | 0.1666 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 2.0920 | 1.6780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0320 | 0.0280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0320 | 0.0280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.8000 | 1.7968 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 2.3900 | 2.3857 | 0.0043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 0.9600 | 0.8200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 3.8400 | 3.2800 | 0.5600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2680 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2680 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.5560 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.5560 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 9.8250 | 0.3950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 2.5707 | 3.8593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.3904 | 0.3796 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 3.3904 | 0.3796 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0476 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00238 | ATADURA CREPOM 15 CM UN | 2.3300 | 1.7092 | 0.6208 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2970 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2970 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1424 | 0.1176 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.2708 | 0.3192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5620 | 0.1380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5617 | 0.1383 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5617 | 0.1383 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51242 | SONDA DOBBHOFF (P/ ALIMENTAÇÃO ENTERAL) UN | 38.8100 | 19.4070 | 19.4030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.4380 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4380 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4380 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 66.7300 | 6.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0900 | 1.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0800 | 1.8600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3434 | 0.0066 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2380 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 54653 | DERSANI LC TP ML | 9.7000 | 7.2800 | 2.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.4540 | 0.6060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00125 | LUVA CIRURGICA UN | 4.3400 | 3.0977 | 1.2423 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1054 | 0.2946 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.2135 | 0.5965 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8930 | 2.8970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6734 | 0.3266 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6734 | 0.3266 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2574 | 0.2526 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1295 | 0.1305 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3570 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3570 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3570 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.9028 | 0.2772 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.9028 | 0.2772 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8500 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8660 | 0.0640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 37729 | FIO VICRYL 0 C/ AGULHA 3,7 5/8 J376 | 0.0000 | 36.1372 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | f7dcc52dfa1efc08bae9b5833a793f8e | MARIA | NULL | NULL | 11884074513 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | ce2237907dfb2aecbbe27fdfb586bf6c | LUZIA | NULL | NULL | 11880903610 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11892885112 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | b5bcf118d4faaf458149cce050348aa4 | IOLANDA | NULL | NULL | 11893317512 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6225 | 0.0675 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2290 | 0.1010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.4300 | 0.4289 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.4300 | 0.4289 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 1.6959 | 0.0041 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 1.6959 | 0.0041 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 00125 | LUVA CIRURGICA UN | 1.3300 | 0.7259 | 0.6041 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 67.2800 | 0.0000 | 67.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2000 | 0.4780 | 0.7220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1333 | 0.0567 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6110 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6093 | 0.0607 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0590 | 0.5310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0900 | 0.0430 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1460 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1460 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.5840 | 0.6160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1140 | 0.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2230 | 0.2870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2230 | 0.2870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2230 | 0.2870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3370 | 0.4330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3370 | 0.4330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6494 | 0.1606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11843120635 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11843550832 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11843550832 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 3.3952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00540 | AGULHA DESC 13 X 45 UN | 0.0000 | 0.5766 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 33120 | TENOXICAM 20 MG + DIL. 2 ML PO IM | 0.0000 | 14.3258 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.3075 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 00485 | AGUA BIDESTILADA 500 ML SI IM IV | 0.0000 | 6.4269 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 53880 | FIO ACIFLEX 2-0 S/ AG BSS - 28T EV | 0.0000 | 6.3554 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00922 | AMINOFILINA 24 MG/ML 10 ML SI IM I | 0.0000 | 0.6685 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 17760 | FIO PROLENE 5-0 C/ AGULHA 1,5 1/2 9 | 0.0000 | 10.0559 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 21814 | ATRACURIO 25 MG SI IV AP | 0.0000 | 18.1271 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00485 | AGUA BIDESTILADA 500 ML SI IM IV | 0.0000 | 6.4269 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 33340 | TRAMADOL 50 MG CP VO UN | 0.0000 | 1.9280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857749834 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9645251a3636956acc690592c2f960f1 | LEVINDO | NULL | NULL | 11726008030 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.0266 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9645251a3636956acc690592c2f960f1 | LEVINDO | NULL | NULL | 11726008030 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864650230 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 34010173 | TOMOGRAFIA COMPUTADORIZADA DE ABDOM | 0.0000 | 477.0390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00558 | LAMINA BISTURI N 20, 22 E 24 UN | 2.0000 | 1.9235 | 0.0765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00125 | LUVA CIRURGICA UN | 2.9000 | 2.0490 | 0.8510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4525 | 0.0275 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3651 | 0.0049 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5424 | 0.2676 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5424 | 0.2676 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 337.4100 | 20.5924 | 316.8176 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2081 | 3.2019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2081 | 3.2019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.4970 | 0.9530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6872 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.9000 | 0.7000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.4700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.1500 | 0.1200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.7900 | 6.7868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3984 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00857 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 27.3400 | 27.3393 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00558 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.5200 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7800 | 0.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7800 | 0.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.6000 | 1.1550 | 0.4450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.5770 | 0.2230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3820 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2030 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51163 | AGUA BIDESTILADA 250 ML | 11.5800 | 8.6810 | 2.8990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.3470 | 1.4430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2890 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2890 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2890 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 32.9500 | 5.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3790 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.2000 | 0.1890 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11831061738 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 5.0984 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bce83428ddaef831cd5652e2dee0f666 | MARIA | NULL | NULL | 11675671233 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e059645a816c79f801859032d54334d6 | MARIA | NULL | NULL | 11653454440 | 23280 | FIO POLYCOT 2.0 S/ AGULHA SPA44T UN | 0.0000 | 5.0976 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 01b65cae7e1c979708ab72a46c9dd33f | MARIA | NULL | NULL | 11779209030 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6a746080400e8165df6955a40cdf17ff | LUCIMAR | NULL | NULL | 11705666938 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5bced1795d4477bbb56e945ed8e522ad | LOURDINHA | NULL | NULL | 11688263237 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 08460 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U | 0.0000 | 16.3969 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 11705601835 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 11705601835 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 11705601835 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 435cc5e799cf8fa6cacbd547161e7fba | JOSE | NULL | NULL | 11807517831 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 45611806e20180702368acb7d7711e5b | JOAO | NULL | NULL | 11682782439 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 1.1974 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11698074734 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.3075 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11698074734 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 11.5760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11698074734 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11817085435 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 96aca2102ab122b1b57bb31e4e5bd131 | GERALDINA | NULL | NULL | 11829669633 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0009ba6bad5451e560474ca63122de13 | EVALDO | NULL | NULL | 11829428335 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11754678530 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11754678530 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11861139439 | 09733 | ACETILCISTEINA 600MG PO VO SA | 0.0000 | 3.4950 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2f854de70d3fd96f252b56d7365d892b | ANA | NULL | NULL | 11745846233 | 01899 | AMIODARONA 50 MG/ML 3ML SI IV AP | 0.0000 | 13.1688 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 0.0000 | 8.1275 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 18457 | REPARIL (ESCINA + DIETILAMONIO) GL | 0.0000 | 0.3752 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6494 | 0.1606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5064 | 0.4336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52403 | MORFINA 1 MG/ML 2 ML SI IM IT IV PE AP | 3.9900 | 3.7799 | 0.2101 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 34533 | FEXOFENADINA 180 MG CP VO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.0000 | 1.8000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2571 | 0.2229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5143 | 0.4457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 103001 | DIARIA DE U.T.I. UNIDADE DE TERAPIA | 0.0000 | 5676.4600 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5143 | 0.4457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.2890 | 0.5210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 610f12e03f998dc6757d0157b820075b | VERA | NULL | NULL | 11790966139 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6ccdd1d4b5d3b7769bf0664e7ef09371 | WALISON | NULL | NULL | 11790995936 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8830 | 1.8870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.6390 | 0.5610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 0.8586 | 0.3514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.0000 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 37831 | NEURONTIN 300MG 30 CP | 1.4700 | 0.0000 | 1.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 37831 | NEURONTIN 300MG 30 CP | 1.4700 | 0.0000 | 1.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.0000 | 0.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3880 | 0.1420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3860 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.5000 | 1.0270 | 0.4730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3462 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00117 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS UN | 16.4000 | 16.3968 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00090 | SERINGA DESC 20 ML UN | 5.3800 | 5.3710 | 0.0090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | add087d6663ae7dc73ac08843c47c695 | MARIANA | NULL | NULL | 11884369618 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | f5ab7f48d689388a45e42d3f382bcf95 | ANTONIO | NULL | NULL | 11837921917 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 40a78f03a2408497714a108ab38b64c7 | MARIA | NULL | NULL | 11873062013 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 4be4b801aa084e21f097476f7cbd962c | MARIA | NULL | NULL | 11782515714 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 2.8794 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 24554 | FIO VICRYL 3-0 C/ AGULHA 2,0 3/8 J | 0.0000 | 23.1094 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6861 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54687 | IODOPOVIDONA SD TP ML | 0.2000 | 0.0900 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1700 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35522 | POLIMIXINA B 500.000 UI PO IM IT IV FA | 389.9500 | 250.9600 | 138.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35522 | POLIMIXINA B 500.000 UI PO IM IT IV FA | 389.9500 | 250.9600 | 138.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3100 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3810 | 0.1290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0470 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3180 | 0.2120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9700 | 4.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9700 | 4.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 6.3000 | 5.5500 | 0.7500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0965 | 0.2735 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0958 | 0.2742 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0958 | 0.2742 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0958 | 0.2742 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0958 | 0.2742 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0958 | 0.2742 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0958 | 0.2742 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0958 | 0.2742 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 2.1600 | 1.9200 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2540 | 0.0460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8320 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3760 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 51241 | AGULHA 123X45 | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1370 | 0.1630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1370 | 0.1630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.2000 | 0.1280 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.0500 | 0.0460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 51163 | AGUA BIDESTILADA 250 ML | 11.5800 | 11.5760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8456 | 0.6044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 5.3800 | 5.3660 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 1.9200 | 1.9040 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810846546 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11862679347 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1600 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1600 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.5800 | 0.5717 | 0.0083 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.3629 | 0.3371 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.3629 | 0.3371 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5380 | 0.4620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0958 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0958 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6350 | 0.3650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.0600 | 0.6100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3651 | 0.0049 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0640 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0640 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2810 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 10.5802 | 9.6998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 21.1605 | 19.3995 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.5000 | 1.3900 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 2.1000 | 1.9400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6900 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 1.0200 | 0.9100 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.6084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 42291 | COLETOR P/ INCOTINECIA URINARIA | 1.2700 | 0.9656 | 0.3044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 42291 | COLETOR P/ INCOTINECIA URINARIA | 1.2700 | 0.9656 | 0.3044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 42291 | COLETOR P/ INCOTINECIA URINARIA | 1.2700 | 0.9656 | 0.3044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.3800 | 0.3780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.5996 | 0.4004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.8700 | 1.6043 | 0.2657 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 9.4331 | 0.7869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8950 | 2.8950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2100 | 0.1700 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4800 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2650 | 0.2650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00126 | LUVA CIRURGICA UN | 2.9000 | 1.7712 | 1.1288 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00126 | LUVA CIRURGICA UN | 5.7900 | 3.5362 | 2.2538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4710 | 0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.4060 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8830 | 1.8870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1620 | 0.1380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1620 | 0.1380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.6480 | 0.5520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2461 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0895 | 3.3205 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0885 | 3.3215 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2520 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2520 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.9700 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00125 | LUVA CIRURGICA UN | 2.9000 | 1.9300 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7040 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7040 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1760 | 0.4940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6400 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51584 | ESPARADRAPO MICROPORE | 1.7900 | 1.4900 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3cec382940cde814366b829f5156e807 | DULCINEA | NULL | NULL | 11860769839 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 0.5987 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | edae56e7ad86848db71a15facd21e97d | ELCY | NULL | NULL | 11802062532 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | edae56e7ad86848db71a15facd21e97d | ELCY | NULL | NULL | 11802062532 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bc0aaa5a07c86f12475641a70a287f26 | GLAUCE | NULL | NULL | 11746693433 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 85deaf02df0c2e477b92eab40e5585a2 | ISAURA | NULL | NULL | 11772106738 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2600 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2600 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3930 | 0.4070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.3904 | 0.3796 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5780 | 0.0920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4470 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2e7873e3e1a70aa7debf49ee5c2c7f27 | IZABEL | NULL | NULL | 11802066237 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 95d89bcfe80dc36072ad224970c015ec | JANETE | NULL | NULL | 11870570331 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.7309 | -0.0609 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0386 | -0.0386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3462 | -0.0162 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00857 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 27.3400 | 27.3386 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9855 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 53070 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J186H EV | 18.1400 | 18.1332 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 02247 | HIDROCORTISONA 500 MG PO IM IV FA | 6.3500 | 6.3500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1126 | 0.1474 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1888 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.6806 | -0.3706 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.4538 | -0.2438 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 51379 | SERINGA DESC 05 ML UN | 0.3800 | 0.3364 | 0.0437 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.2517 | -0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.2517 | -0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3000 | 1.2955 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3000 | 0.3000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.0700 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9984 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.6919 | -0.4819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.7700 | 0.0000 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8056 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 83.9500 | 83.9500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.8300 | 0.8300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54555 | AEROLIN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54555 | AEROLIN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5884 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2768 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 9.4680 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8000 | 0.8000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 67.2800 | 67.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 53066 | FIO VICRYL 0 C/ AGULHA 3,7 5/8 J376H UN | 36.1400 | 36.1400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00031 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00031 | AGULHA DESC 13 X 45 UN | 0.3800 | 0.3800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 3ddbe0467197d67f2d3f7c602514920e | NILZA | NULL | NULL | 11887585741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6826 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 1.4060 | -1.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5420 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2720 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52830 | Agua Bidestilada 1000ml | 8.9000 | 8.9000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e059645a816c79f801859032d54334d6 | MARIA | NULL | NULL | 11653454440 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0986 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0200 | 0.0200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.6000 | 1.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 0.3800 | 0.3704 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1431 | 0.1169 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1558 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2768 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.7920 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.8000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1740 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11821809845 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030338 | a71a722708dcb891fe1cf7166dc808cf | LUZIA | NULL | NULL | 11887584421 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 63f5f65c246cf250cf1777fe71db1d3a | MARIA | NULL | NULL | 11798732430 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1948 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4710 | 0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.4060 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.1540 | 0.2260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11857739533 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3290 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857749834 | 00098 | ABOCATH N 14 A 22 UN | 11.3000 | 11.2948 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1620 | 0.1380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.6480 | 0.5520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.1500 | 3.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0885 | 3.3215 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0885 | 3.3215 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 337.4100 | 8.7637 | 328.6463 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6890 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6890 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2520 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 0.6758 | 4.0542 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00125 | LUVA CIRURGICA UN | 4.3400 | 2.8900 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 000501 | OXIGENIO | 2.9700 | 0.2780 | 2.6920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 01656 | DIAZEPAM 5 MG/ML 2 ML SI IM IV AP | 0.3900 | 0.3600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 7.6500 | 2.9410 | 4.7090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 60.8400 | 44.2467 | 16.5933 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0500 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0500 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.1800 | 1.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.1800 | 1.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 0.4400 | 1.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.0653 | 0.3347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2800 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2800 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2800 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2800 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51163 | AGUA BIDESTILADA 250 ML | 5.6700 | 4.8600 | 0.8100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0610 | 0.4690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.0990 | 0.9610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.0990 | 0.9610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 19.2900 | 18.0000 | 1.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 01137 | SONDA URETRAL N 12 UN | 0.7600 | 0.7557 | 0.0043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.2960 | 0.3040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.6400 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3cec382940cde814366b829f5156e807 | DULCINEA | NULL | NULL | 11860769839 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | edae56e7ad86848db71a15facd21e97d | ELCY | NULL | NULL | 11802062532 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843704830 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 1.1974 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11810539330 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11810539330 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 19178 | SERINGA DESC 60 ML UN | 0.0000 | 10.3762 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 11.5176 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2e7873e3e1a70aa7debf49ee5c2c7f27 | IZABEL | NULL | NULL | 11802066237 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.3971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 00434 | AGUA BIDESTILADA 1000 ML SI IM IV | 0.0000 | 8.8994 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 0.0000 | 7.8894 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11875810332 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11875810332 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11875810332 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 32190 | CLORETO DE POTASSIO 10% 10 ML SI I | 0.0000 | 0.2967 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 53880 | FIO ACIFLEX 2-0 S/ AG BSS - 28T EV | 0.0000 | 6.3554 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4088 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5880 | 0.4120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5820 | 0.4180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5820 | 0.4180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3070 | 0.2030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 24546 | FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371 | 0.0000 | 40.1468 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 0.0000 | 28.4892 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 01899 | AMIODARONA 50 MG/ML 3ML SI IV AP | 0.0000 | 4.3896 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 85deaf02df0c2e477b92eab40e5585a2 | ISAURA | NULL | NULL | 11772106738 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 10.5600 | 10.5555 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6900 | 0.3100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.0132 | 0.7568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.0129 | 0.7571 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.3850 | 0.3850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857814941 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857814941 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 50.9456 | 3.1844 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 50.9456 | 3.1844 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2480 | 0.2620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6170 | 0.3830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1194 | 0.1406 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1194 | 0.1406 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 5fe9d02b576ab11c9045c32be52521cb | JOAO | NULL | NULL | 11829150518 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11821178610 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810839031 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2620 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7be31b3f781765a40b786f2034bc0295 | EUFRAZIO | NULL | NULL | 11713822035 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6f6607a2010496db7dd4a54c62b91f64 | WEVERTON | NULL | NULL | 11795317635 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4064 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857749834 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 74d2fe0c6ba2c68b494c6879165e4d84 | IRACY | NULL | NULL | 11808393443 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 74d2fe0c6ba2c68b494c6879165e4d84 | IRACY | NULL | NULL | 11808393443 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7660 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 3.3300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4040 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6aaf25d0c2992ee27eb6cfce134cded0 | JOSE | NULL | NULL | 11791811247 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6aaf25d0c2992ee27eb6cfce134cded0 | JOSE | NULL | NULL | 11791811247 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6aaf25d0c2992ee27eb6cfce134cded0 | JOSE | NULL | NULL | 11791811247 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6aaf25d0c2992ee27eb6cfce134cded0 | JOSE | NULL | NULL | 11791811247 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 40.5600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00095 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7648 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 0.2100 | 0.2100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9984 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4611 | 0.0689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5340 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2934 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 18716 | RISPERIDONA 1 MG CP VO UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1819 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6007 | 0.0693 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 1.1500 | 1.2110 | -0.0610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 113.9600 | 113.9548 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 14.4000 | 14.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51509 | ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML SI IM IV SC | 80.4700 | 80.4700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.7400 | 2.7400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9984 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 17.8100 | 17.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 01583 | NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00563 | ATROPINA 0,50 MG SI IV AP | 1.3000 | 1.2983 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51379 | SERINGA DESC 05 ML UN | 0.5800 | 0.5766 | 0.0034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7040 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3728 | 0.0272 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3728 | 0.0272 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00493 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 2.7300 | 2.7284 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 1.3340 | 0.2060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3512 | 0.0488 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7112 | 0.0988 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1600 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8619 | 0.1381 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00125 | LUVA CIRURGICA UN | 4.3400 | 3.1500 | 1.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51241 | AGULHA 123X45 | 0.5800 | 0.4343 | 0.1457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.6661 | 0.3339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.6892 | 0.9208 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1474 | 0.2626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.6000 | 14.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.1996 | 1.4104 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.1996 | 1.4104 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.1996 | 1.4104 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.1996 | 1.4104 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0170 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.0360 | 0.0840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.3630 | 0.8370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 0.5450 | 1.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.5348 | 0.1952 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3067 | 0.0233 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3067 | 0.0233 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1128 | 0.4172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2828 | 0.1482 | 0.1118 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.3022 | -0.2722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3993 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5852 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1344 | 0.1256 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.6100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4034 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.5800 | 0.0000 | 0.5800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 7.9400 | 7.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.5400 | 0.3220 | 1.2180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.2800 | 0.9200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2640 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3206 | 0.0094 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5887 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5887 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.0900 | 0.0000 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6900 | 0.3100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1920 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1920 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 12.8600 | 12.0000 | 0.8600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 6.4300 | 6.0100 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.0990 | 0.9610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.0990 | 0.9610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2800 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2800 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2900 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.0653 | 0.3347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 3.5900 | 3.5872 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1500 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0800 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0800 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 0.2700 | 1.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.1800 | 1.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.0900 | 0.5100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.0900 | 0.5100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0400 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0500 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 121.6700 | 88.4862 | 33.1838 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 60.8400 | 44.2469 | 16.5931 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 7.6500 | 2.9410 | 4.7090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2640 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 01656 | DIAZEPAM 5 MG/ML 2 ML SI IM IV AP | 0.3900 | 0.3500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 01656 | DIAZEPAM 5 MG/ML 2 ML SI IM IV AP | 0.3900 | 0.3600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 01656 | DIAZEPAM 5 MG/ML 2 ML SI IM IV AP | 0.3900 | 0.3600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2100 | 0.1100 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3930 | 0.4070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2600 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2600 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6230 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52403 | MORFINA 1 MG/ML 2 ML SI IM IT IV PE AP | 3.9900 | 3.7799 | 0.2101 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52403 | MORFINA 1 MG/ML 2 ML SI IM IT IV PE AP | 3.9900 | 3.7799 | 0.2101 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6494 | 0.1606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6494 | 0.1606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3370 | 0.4330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2230 | 0.2870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1140 | 0.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.5840 | 0.6160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.4380 | 0.4620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1460 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1460 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.0580 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00117 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS UN | 16.4000 | 0.0000 | 16.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51164 | AGUA BIDESTILADA 500 ML | 12.8500 | 12.8500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2f854de70d3fd96f252b56d7365d892b | ANA | NULL | NULL | 11745846233 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 3.1768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 23990 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3 | 0.0000 | 42.1968 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 22730 | LIDOCAINA 2% C/ VASO SI PE ML | 0.0000 | 13.6260 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11775093633 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fee4258fac7a95841c7e070ca0661700 | ANTONIO | NULL | NULL | 11772447639 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fee4258fac7a95841c7e070ca0661700 | ANTONIO | NULL | NULL | 11772447639 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7a6d98219289584b76ce5993096f5664 | AUGUSTO | NULL | NULL | 11817847634 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a9cf243687cbfaa641643ad6c257c937 | BIHANCA | NULL | NULL | 11837622936 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11704479331 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11797032133 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11797032133 | 20575 | SORO FISIOLOGICO 0,9% 1000 ML SI I | 0.0000 | 5.8390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c834ff3ed3ac7af93247dafdc879e033 | DALVA | NULL | NULL | 11824298630 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fb2d3eadccc82ffa38b0adbb5e16123f | DEUCELIA | NULL | NULL | 11737021639 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 11.5760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810839031 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11838328642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1180 | 0.1220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2410 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.2000 | 0.1020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.2660 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51584 | ESPARADRAPO MICROPORE | 1.0200 | 0.2130 | 0.8070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.0200 | 0.2170 | 0.8030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.2100 | 0.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 3.3989 | 1.7011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6480 | 0.0220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3451 | 0.0049 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5887 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.0900 | 0.0000 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3850 | 0.3850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2590 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6800 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6800 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1920 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1920 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 0.1490 | 1.4510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0590 | 0.4710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51163 | AGUA BIDESTILADA 250 ML | 5.6700 | 4.8600 | 0.8100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51163 | AGUA BIDESTILADA 250 ML | 5.6700 | 4.8600 | 0.8100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2800 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2800 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2900 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2900 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2900 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2900 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2900 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00111 | ABOCATH N 14 A 22 UN | 3.4700 | 2.3128 | 1.1572 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.0653 | 0.3347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 19.8200 | 19.5920 | 0.2280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 1.7900 | 0.5100 | 1.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 1.0200 | 0.2900 | 0.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.2200 | 0.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.2200 | 0.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.2200 | 0.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1500 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.0900 | 0.5100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.0900 | 0.5100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0500 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0500 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0500 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 101.3900 | 73.7373 | 27.6527 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3930 | 0.4070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3930 | 0.4070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3930 | 0.4070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2571 | 0.2229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2571 | 0.2229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6230 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6230 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6230 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52403 | MORFINA 1 MG/ML 2 ML SI IM IT IV PE AP | 3.9900 | 3.7799 | 0.2101 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5064 | 0.4336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5064 | 0.4336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6494 | 0.1606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3370 | 0.4330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2230 | 0.2870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.5840 | 0.6160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.5840 | 0.6160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.4380 | 0.4620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1460 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0900 | 0.0430 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3023 | 0.0277 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00117 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS UN | 16.4000 | 0.0000 | 16.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8000 | 0.3190 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.5900 | 10.4500 | 3.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 4.5300 | 3.4900 | 1.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 1.4000 | 0.4300 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.5300 | 0.3030 | 0.2270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.0900 | 1.0864 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.2800 | 1.2769 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 68.0700 | 5.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8500 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8500 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1787 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.9028 | 0.2772 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.9028 | 0.2772 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.9028 | 0.2772 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6077 | 0.0623 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3570 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1295 | 0.1305 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2789 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1054 | 0.2946 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1054 | 0.2946 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2100 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6000 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.0698 | 0.8302 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 54653 | DERSANI LC TP ML | 9.7000 | 7.2700 | 2.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4350 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2210 | 0.0390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.9370 | 0.7330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5620 | 0.4380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2200 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0800 | 1.8600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0900 | 1.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0900 | 1.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 66.7200 | 6.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 66.7300 | 6.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 66.7300 | 6.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2257 | 0.2443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5617 | 0.1383 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1424 | 0.1176 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1424 | 0.1176 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 52395 | seringa desc. 10 ml | 0.3300 | 0.2970 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2970 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2970 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51419 | FILTRO DE BARREIRA | 24.0000 | 12.0000 | 12.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00238 | ATADURA CREPOM 15 CM UN | 2.3300 | 1.7092 | 0.6208 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0476 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0476 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 140.4000 | 136.7000 | 3.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54653 | DERSANI LC TP ML | 19.4000 | 9.2100 | 10.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54653 | DERSANI LC TP ML | 19.4000 | 9.2200 | 10.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.5560 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.5560 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.7900 | 6.5270 | 0.2630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.7900 | 6.5270 | 0.2630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2780 | 0.1220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 2.3900 | 2.3857 | 0.0043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51163 | AGUA BIDESTILADA 250 ML | 11.5800 | 11.5760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 2.0920 | 1.6780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5034 | 0.1666 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9002 | 0.0998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9002 | 0.0998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1757 | 0.0043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1400 | 0.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 21245 | TIAMAZOL 5 MG CP VO UN | 0.1700 | 0.1663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 9.0600 | 6.5300 | 2.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11831061738 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.6650 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11831061738 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 67487b530d34314734fcf47c37285e70 | OSIEL | NULL | NULL | 11723345232 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.0000 | 1.8674 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 20923 | SULFATO DE MAGNESIO 500 MG/ML 10 ML | 0.0000 | 1.3573 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 20370 | SONDA URETRAL Nş 12 UN | 0.0000 | 0.7558 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01724 | ATADURA CREPOM 10 CM UN | 0.0000 | 3.1768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d8275d7e1b4720d2b25cb8765ee329eb | RICARDO | NULL | NULL | 11829312948 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829313730 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.3971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 0.5987 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 610f12e03f998dc6757d0157b820075b | VERA | NULL | NULL | 11790966139 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.2800 | 0.9200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1760 | 0.3540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.2660 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.2660 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.2660 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3648 | 0.1152 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.3000 | 0.0700 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1895 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d2a77c5334898ed2bd6b1c1b87ca854e | ANNA | NULL | NULL | 11892066140 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3e03a64ce435ea9499110d754da2cb47 | AMANDA | NULL | NULL | 11843121230 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7fbed525c167f3b67f84c3a929b9fd93 | CARLOS | NULL | NULL | 11841939032 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.3075 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7fbed525c167f3b67f84c3a929b9fd93 | CARLOS | NULL | NULL | 11841939032 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 20575 | SORO FISIOLOGICO 0,9% 1000 ML SI I | 0.0000 | 5.8390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.0000 | 0.9380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11857739533 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1350 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1350 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.5900 | 9.7800 | 3.8100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1843 | 0.0057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2020 | 0.0580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54653 | DERSANI LC TP ML | 9.7000 | 7.2800 | 2.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 4b2e5ec16dc2cf0a1719558e387ae964 | JOSE | NULL | NULL | 11891153116 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 3f184a297bcc4adc540c65b4afef1ee4 | VALDIVINA | NULL | NULL | 11897221115 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | afb55c8be5f6cc50fb22f7a5aa0cd72f | JACQUELINE | NULL | NULL | 11843822119 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 96c9ceedc7107f0a443b3defe8785e2f | DIANA | NULL | NULL | 11839913315 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 71710de9cadcfb84797a6a633df5f822 | CELSO | NULL | NULL | 11839913413 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 45bfd520925126c655bf390449401f49 | EDNA | NULL | NULL | 11870868410 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 2d6becbef781d9512ed8d03692950525 | JOAQUIM | NULL | NULL | 11842757713 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 7fbed525c167f3b67f84c3a929b9fd93 | CARLOS | NULL | NULL | 11841858417 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | afb55c8be5f6cc50fb22f7a5aa0cd72f | JACQUELINE | NULL | NULL | 11824264418 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | eb1e6881e9477002eed8bb56271729bb | NEUSA | NULL | NULL | 11829672817 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | f85349411240cc4bea35c1a684af7a4e | ROSILENE | NULL | NULL | 11876867410 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 3a72f28eefaa15df05ee7bb057b8921e | DEMIA | NULL | NULL | 11873287710 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 95d89bcfe80dc36072ad224970c015ec | JANETE | NULL | NULL | 11870042910 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7400 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.3700 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.3700 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5888 | 0.1012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5888 | 0.1012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9109 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791513933 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791513933 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 1.1974 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791513933 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.0490 | 0.7110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 204583ae168141c465bdb5db8983b68d | ONOFRE | NULL | NULL | 11694161036 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 204583ae168141c465bdb5db8983b68d | ONOFRE | NULL | NULL | 11694161036 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 24538 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J | 0.0000 | 18.1366 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f85349411240cc4bea35c1a684af7a4e | ROSILENE | NULL | NULL | 11876908138 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f85349411240cc4bea35c1a684af7a4e | ROSILENE | NULL | NULL | 11876908138 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 20389 | SONDA URETRAL N 14 UN | 0.0000 | 0.4177 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 98d84ac332d267c79f65dcf2e74bbcb9 | SEBASTIAO | NULL | NULL | 11676108934 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6dd04c2da28ee38ae6e8ba6af8296ef | MARIA | NULL | NULL | 11591043232 | 00111 | ABOCATH N 14 A 22 UN | 6.9400 | 6.9383 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 24791 | CATETER BALAO P/ ANGIOPLASTIA CORON | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 2.7669 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11857118648 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 13757 | IODOPOVIDONA SD TP ML | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 000501 | OXIGENIO | 0.0000 | 407.2160 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6ccdd1d4b5d3b7769bf0664e7ef09371 | WALISON | NULL | NULL | 11790995936 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 08e4d66f0f8768725b9bb899442d7b1b | WALQUIRIA | NULL | NULL | 11810543038 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6f6607a2010496db7dd4a54c62b91f64 | WEVERTON | NULL | NULL | 11795317635 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c1c04f2f6ed6b11970c617a5b4c70de7 | FABIO | NULL | NULL | 11805120630 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873157510 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | dc99bb9dfd016d3089cb82b00b428fb1 | ILSON | NULL | NULL | 11843467914 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | deab734734f0654cf8b04247a188688b | JOAQUIM | NULL | NULL | 11872798216 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1082 | 0.0418 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 12880 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN | 27.0800 | 20.2783 | 6.8017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 12880 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN | 27.0800 | 20.2783 | 6.8017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5330 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864640619 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842339713 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4840 | 0.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1150 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51379 | SERINGA DESC 05 ML UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.3500 | 1.3418 | 1.0082 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.3500 | 1.3418 | 1.0082 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.3500 | 1.3418 | 1.0082 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.3500 | 1.3418 | 1.0082 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.3500 | 1.3418 | 1.0082 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.7200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.9200 | 0.5613 | 0.3587 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.3160 | 0.8840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2715 | 3.1385 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3580 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3580 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.7000 | 0.1700 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.7100 | 10.8200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8930 | 2.8970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.4600 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.0260 | 0.6440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2270 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4990 | 0.5010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1280 | 0.3820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1280 | 0.3820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5887 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2573 | 0.0727 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.4000 | 0.0846 | 0.3154 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9855 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 2.3900 | 2.3900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51163 | AGUA BIDESTILADA 250 ML | 11.5800 | 11.5800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51379 | SERINGA DESC 05 ML UN | 1.3500 | 1.3500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5353 | -0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2676 | -0.0076 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.3800 | 0.3641 | 0.0159 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.3800 | 0.3641 | 0.0159 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5490 | 0.0510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5820 | 0.1880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.1500 | 0.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843708517 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11871304910 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 0009ba6bad5451e560474ca63122de13 | EVALDO | NULL | NULL | 11829360112 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 63e06a8388be1e866d76469d6266cc17 | GUIOMAR | NULL | NULL | 11829688414 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 5cb8acec08495318d2d1c6ec0d7b2952 | MARIA | NULL | NULL | 11824312515 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | e96135476dcffecd83ce6af703f2218d | JEAN | NULL | NULL | 11887611019 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | aa0ed44b260cca9961e90e6407410798 | HENRIQUE | NULL | NULL | 11897309312 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8330 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.0000 | 0.3500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 00125 | LUVA CIRURGICA UN | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 00124 | LUVA CIRURGICA UN | 4.3400 | 4.3400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 5.2000 | 5.2000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2731 | -0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.3186 | 0.0314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51379 | SERINGA DESC 05 ML UN | 0.3800 | 0.6150 | -0.2350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 2.6550 | -2.3050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5852 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.5800 | 0.6490 | -0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.4327 | -0.0527 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 25.7400 | 25.7316 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 83.9500 | 83.9500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 83.9500 | 83.9500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.8300 | 0.8300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54555 | AEROLIN | 1.9900 | 1.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2768 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.5800 | 0.5800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 51241 | AGULHA 123X45 | 0.1900 | 0.1898 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 51241 | AGULHA 123X45 | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5360 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 32.4400 | 32.4394 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00031 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1810 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 3ddbe0467197d67f2d3f7c602514920e | NILZA | NULL | NULL | 11887585741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 3ddbe0467197d67f2d3f7c602514920e | NILZA | NULL | NULL | 11887585741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 3ddbe0467197d67f2d3f7c602514920e | NILZA | NULL | NULL | 11887585741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 1.4060 | -1.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52830 | Agua Bidestilada 1000ml | 8.9000 | 8.8952 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52830 | Agua Bidestilada 1000ml | 8.9000 | 8.9000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e059645a816c79f801859032d54334d6 | MARIA | NULL | NULL | 11653454440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0268 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810846546 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5828 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1431 | 0.1169 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.8000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.8000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5808 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9976 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7622 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2540 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4425 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11821809845 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11857739533 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 5.8202 | 1.9398 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 0.7200 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 0.7200 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.0700 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.2790 | 0.3910 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 1.2820 | 0.5180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 10.9672 | 0.9128 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1791 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.5680 | 0.1020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4180 | 0.2520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.6000 | 14.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3085 | 0.0215 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.1996 | 1.4104 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.1996 | 1.4104 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.0360 | 0.0840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1800 | 0.0540 | 0.1260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.1810 | 0.4190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 9.0784 | 0.3916 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.6152 | 0.3248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.3300 | 1.2520 | 0.0780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 53051 | POLIPROPILENO AZUL MONOFILAMENTO Cardiovascular Aco 300 | 18.3100 | 18.3070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3e03a64ce435ea9499110d754da2cb47 | AMANDA | NULL | NULL | 11843121230 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3e03a64ce435ea9499110d754da2cb47 | AMANDA | NULL | NULL | 11843121230 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.5164 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7fbed525c167f3b67f84c3a929b9fd93 | CARLOS | NULL | NULL | 11841939032 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7fbed525c167f3b67f84c3a929b9fd93 | CARLOS | NULL | NULL | 11841939032 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7fbed525c167f3b67f84c3a929b9fd93 | CARLOS | NULL | NULL | 11841939032 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7fbed525c167f3b67f84c3a929b9fd93 | CARLOS | NULL | NULL | 11841939032 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 50385 | CETOPROFENO 100 MG PO IV FA | 0.0000 | 7.7768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e0811fe1a62804bd78f94686f8320ba5 | CLEYTON | NULL | NULL | 11802054835 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e0811fe1a62804bd78f94686f8320ba5 | CLEYTON | NULL | NULL | 11802054835 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e0811fe1a62804bd78f94686f8320ba5 | CLEYTON | NULL | NULL | 11802054835 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11857739533 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 24538 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J | 0.0000 | 18.1366 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791513933 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791513933 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791513933 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 204583ae168141c465bdb5db8983b68d | ONOFRE | NULL | NULL | 11694161036 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6551 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 98d84ac332d267c79f65dcf2e74bbcb9 | SEBASTIAO | NULL | NULL | 11676108934 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 13404 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV | 0.0000 | 19.5772 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c1c04f2f6ed6b11970c617a5b4c70de7 | FABIO | NULL | NULL | 11805120630 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 63f5f65c246cf250cf1777fe71db1d3a | MARIA | NULL | NULL | 11798732430 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.6650 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9109 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.5400 | 0.3220 | 1.2180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.5000 | 0.3400 | 1.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.2800 | 0.9200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.1400 | 0.4600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0589 | 0.5311 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.6994 | 0.8506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.0900 | 0.0000 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1920 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1920 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 19.2900 | 18.0000 | 1.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 6.4300 | 6.0000 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 6.4300 | 6.0100 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.0990 | 0.9610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.0990 | 0.9610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.0990 | 0.9610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51163 | AGUA BIDESTILADA 250 ML | 5.6700 | 4.8600 | 0.8100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2900 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 0.4400 | 1.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 1.0200 | 0.2900 | 0.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0800 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 101.3900 | 73.7373 | 27.6527 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 01656 | DIAZEPAM 5 MG/ML 2 ML SI IM IV AP | 0.3900 | 0.3600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 01656 | DIAZEPAM 5 MG/ML 2 ML SI IM IV AP | 0.3900 | 0.3600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3930 | 0.4070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3930 | 0.4070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2600 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5143 | 0.4457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5143 | 0.4457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2571 | 0.2229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6230 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6230 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6230 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52403 | MORFINA 1 MG/ML 2 ML SI IM IT IV PE AP | 3.9900 | 3.7799 | 0.2101 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52403 | MORFINA 1 MG/ML 2 ML SI IM IT IV PE AP | 3.9900 | 3.7799 | 0.2101 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52403 | MORFINA 1 MG/ML 2 ML SI IM IT IV PE AP | 3.9900 | 3.7799 | 0.2101 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5064 | 0.4336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5064 | 0.4336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5064 | 0.4336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6494 | 0.1606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3370 | 0.4330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1140 | 0.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1460 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0589 | 0.5311 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1400 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6110 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0110 | 0.4390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8000 | 0.3190 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1630 | 0.2370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.8600 | 1.0640 | 0.7960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 67.2800 | 0.0000 | 67.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 67.2800 | 0.0000 | 67.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 00090 | SERINGA DESC 20 ML UN | 0.9900 | 0.9128 | 0.0772 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 00124 | LUVA CIRURGICA UN | 8.0000 | 4.3658 | 3.6342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 1.6959 | 0.0041 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 1.6959 | 0.0041 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.8500 | 0.8479 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.4300 | 0.4289 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 17252 | LIDOCAINA 2% GE OU TP GR | 7.7800 | 5.9650 | 1.8150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 68.0600 | 5.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 68.0700 | 5.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2290 | 0.1010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.9028 | 0.2772 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.6066 | 0.0034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3570 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3570 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3570 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1295 | 0.1305 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2574 | 0.2526 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2574 | 0.2526 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2574 | 0.2526 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6734 | 0.3266 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 15.8300 | 15.8267 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2789 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2789 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2789 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.0600 | 2.0535 | 0.0065 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4100 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0349 | 0.4151 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00238 | ATADURA CREPOM 15 CM UN | 1.1700 | 1.1656 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.6700 | 0.2890 | 0.3810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4350 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2240 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1767 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0900 | 1.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0900 | 1.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0900 | 1.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0900 | 1.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 66.7200 | 6.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 73.4000 | 66.7300 | 6.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1424 | 0.1176 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2970 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51419 | FILTRO DE BARREIRA | 24.0000 | 12.0000 | 12.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00097 | ABOCATH N 14 A 22 UN | 7.5300 | 6.7719 | 0.7581 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 3.3904 | 0.3796 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 2.5707 | 3.8593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 140.4000 | 136.7000 | 3.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54653 | DERSANI LC TP ML | 19.4000 | 9.2200 | 10.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54653 | DERSANI LC TP ML | 19.4000 | 9.2200 | 10.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.5560 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.7900 | 6.5270 | 0.2630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.7900 | 6.5270 | 0.2630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.7900 | 6.5270 | 0.2630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2680 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2680 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 19.2000 | 16.3600 | 2.8400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 14.4000 | 12.2700 | 2.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.4566 | 1.0934 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.4566 | 1.0934 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 2.0990 | 1.6710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1500 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1251 | 0.1349 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 21245 | TIAMAZOL 5 MG CP VO UN | 0.1700 | 0.1663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 868f6837fab803ce8083c4f8c5b700af | MARIA | NULL | NULL | 11886729417 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 3a8e1ba21cc61752449faaeecd5b984f | MARIA | NULL | NULL | 11839157610 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11892861513 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | f5195729f70a774f93a2036c2d309fd9 | JULIA | NULL | NULL | 11887648215 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 54283 | LEVOSIMENDANA 2,5 MG/ML 5 ML SI IV | 0.0000 | 4530.9399 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 5a5370e63e6e044f60b6ad290ee60e37 | VANIA | NULL | NULL | 11823616015 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 8f1cba19f9aa4aba3e9e1bfeadc800af | ANDRE | NULL | NULL | 11867876910 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 17abd6535877fb8a1dfcf1a9d888e0f4 | GERALDO | NULL | NULL | 11877010015 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | afb55c8be5f6cc50fb22f7a5aa0cd72f | JACQUELINE | NULL | NULL | 11830100214 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11843547318 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829316517 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 0e9fafb948fd35987bcd3beea54cddde | LUIZ | NULL | NULL | 11859260216 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 17db6ae646cf3b24117dd09571f18089 | ALMY | NULL | NULL | 11873745217 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | f1042f5c06faa6c19050822b321d1759 | DANILO | NULL | NULL | 11843148411 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 99f3aaafe01df73cb984222f503024fe | CLEUSA | NULL | NULL | 11836745314 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 3e7fab3fc4d8bc0ada1739efe1c86229 | MARIA | NULL | NULL | 11855598015 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | eae7e8086b39a834dd69385eaf347842 | NILZA | NULL | NULL | 11859590015 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11830846310 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 62e90582507bab321fb3a6d78905fb8d | SEBASTIANA | NULL | NULL | 11829670812 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 8d94ee4968e0db17778eb53be1d5ab7e | GILSON | NULL | NULL | 11857717714 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 44d3d1e8ae7f48f795abf359c8b0c508 | MEIRE | NULL | NULL | 11877282614 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 31527c21fc2ee5540b3a82c6ad2d681b | ANTONIO | NULL | NULL | 11873687113 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 74b3dc5c7afc9ac2a839c0825d8bf9a7 | ELISANGELA | NULL | NULL | 11843888317 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11842848110 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 13749 | MARCAPASSO CARDIACO MULTIPROGRAM. C | 0.0000 | 4324.3398 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11839939910 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 13722 | BUPIVACAINA 5 MG/ML + GLICOSE 80 MG | 0.0000 | 6.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2f854de70d3fd96f252b56d7365d892b | ANA | NULL | NULL | 11745846233 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11775093633 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d2a77c5334898ed2bd6b1c1b87ca854e | ANNA | NULL | NULL | 11892066140 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fee4258fac7a95841c7e070ca0661700 | ANTONIO | NULL | NULL | 11772447639 | 02461 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.0000 | 0.0851 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7a6d98219289584b76ce5993096f5664 | AUGUSTO | NULL | NULL | 11817847634 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a9cf243687cbfaa641643ad6c257c937 | BIHANCA | NULL | NULL | 11837622936 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a9cf243687cbfaa641643ad6c257c937 | BIHANCA | NULL | NULL | 11837622936 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11706199130 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11706199130 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11706199130 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11704479331 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11704479331 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 24c7a189d55648ee51fabca3bb04037a | CAROENE | NULL | NULL | 11810763238 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 24c7a189d55648ee51fabca3bb04037a | CAROENE | NULL | NULL | 11810763238 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 24c7a189d55648ee51fabca3bb04037a | CAROENE | NULL | NULL | 11810763238 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 24c7a189d55648ee51fabca3bb04037a | CAROENE | NULL | NULL | 11810763238 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11797032133 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11797032133 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c834ff3ed3ac7af93247dafdc879e033 | DALVA | NULL | NULL | 11824298630 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fb2d3eadccc82ffa38b0adbb5e16123f | DEUCELIA | NULL | NULL | 11737021639 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fb2d3eadccc82ffa38b0adbb5e16123f | DEUCELIA | NULL | NULL | 11737021639 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 96c9ceedc7107f0a443b3defe8785e2f | DIANA | NULL | NULL | 11828356732 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | ef678515381939d9342664b96e7308c7 | EDSON | NULL | NULL | 11733887135 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | ef678515381939d9342664b96e7308c7 | EDSON | NULL | NULL | 11733887135 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 18457 | REPARIL (ESCINA + DIETILAMONIO) GL | 0.0000 | 0.3752 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1a5c0b397236a920b1779fc97c7e0ee1 | MARISA | NULL | NULL | 11724082038 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 6.8164 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830071032 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830071032 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 52339d70d59c638f8ef91d6b30010ff8 | VALDIVINO | NULL | NULL | 11723825139 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 610f12e03f998dc6757d0157b820075b | VERA | NULL | NULL | 11790966139 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 610f12e03f998dc6757d0157b820075b | VERA | NULL | NULL | 11790966139 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 610f12e03f998dc6757d0157b820075b | VERA | NULL | NULL | 11790966139 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1610 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6840 | 0.0860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2838 | 0.1162 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2838 | 0.1162 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.8600 | 1.6060 | 0.2540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.0000 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.0000 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0000 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.0000 | 0.5100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 37831 | NEURONTIN 300MG 30 CP | 1.4700 | 0.0000 | 1.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 37831 | NEURONTIN 300MG 30 CP | 1.4700 | 0.0000 | 1.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.0000 | 0.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.0000 | 0.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 0.0000 | 1.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4100 | 0.4069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2080 | 0.0920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 1.2330 | 0.5670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6670 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6670 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.2135 | 0.4065 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 0.0000 | 4.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2100 | 0.0900 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2860 | 0.2240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2860 | 0.2240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2860 | 0.2240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 9.4331 | 0.7869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.2890 | 0.5210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 0.5780 | 1.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.7980 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.6000 | 2.3437 | 0.2563 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 337.4100 | 8.7637 | 328.6463 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6890 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2520 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.0000 | 2.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3cec382940cde814366b829f5156e807 | DULCINEA | NULL | NULL | 11860769839 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bc0aaa5a07c86f12475641a70a287f26 | GLAUCE | NULL | NULL | 11746693433 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 34010173 | TOMOGRAFIA COMPUTADORIZADA DE ABDOM | 0.0000 | 477.0390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836634 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 85deaf02df0c2e477b92eab40e5585a2 | ISAURA | NULL | NULL | 11772106738 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2e7873e3e1a70aa7debf49ee5c2c7f27 | IZABEL | NULL | NULL | 11802066237 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 95d89bcfe80dc36072ad224970c015ec | JANETE | NULL | NULL | 11870570331 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 23280 | FIO POLYCOT 2.0 S/ AGULHA SPA44T UN | 0.0000 | 10.1952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11875810332 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11875810332 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 20931 | SULFATO DE MAGNESIO 100 MG/ML 10 ML | 0.0000 | 0.9478 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 000501 | OXIGENIO | 1.4800 | 0.3740 | 1.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836634 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 2.1100 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 17760 | FIO PROLENE 5-0 C/ AGULHA 1,5 1/2 9 | 0.0000 | 10.0559 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 01546 | METARAMINOL 10 MG 1 ML SI IM SC IV | 0.0000 | 4.5060 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 05444 | CLORETO DE POTASSIO 15% 10 ML SI I | 0.0000 | 1.0293 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.1500 | 0.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0214 | 0.3886 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5820 | 0.1880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3860 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5490 | 0.0510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2410 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3993 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3070 | 0.2030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3070 | 0.2030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4088 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1126 | 0.1474 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4470 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4510 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9480 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1470 | 0.1130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4800 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4800 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1786 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1786 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.1100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 10.5802 | 9.6998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2810 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1440 | 0.1160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0640 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.0600 | 0.6100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11862679347 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 52771 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3P13T EV | 14.0700 | 14.0656 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51662 | Simeticona frasco c/15 ml | 0.9000 | 0.7400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51662 | Simeticona frasco c/15 ml | 0.9000 | 0.7400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51662 | Simeticona frasco c/15 ml | 0.9000 | 0.7400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51662 | Simeticona frasco c/15 ml | 0.9000 | 0.7400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c1c04f2f6ed6b11970c617a5b4c70de7 | FABIO | NULL | NULL | 11805120630 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6dd04c2da28ee38ae6e8ba6af8296ef | MARIA | NULL | NULL | 11591043232 | 00098 | ABOCATH N 14 A 22 UN | 3.4700 | 3.4693 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c98a28fdb952ff1b7944a4beef97759f | VIOLETA | NULL | NULL | 11639736930 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 20931 | SULFATO DE MAGNESIO 100 MG/ML 10 ML | 0.0000 | 1.8956 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 98d84ac332d267c79f65dcf2e74bbcb9 | SEBASTIAO | NULL | NULL | 11676108934 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f85349411240cc4bea35c1a684af7a4e | ROSILENE | NULL | NULL | 11876908138 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f85349411240cc4bea35c1a684af7a4e | ROSILENE | NULL | NULL | 11876908138 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 19178 | SERINGA DESC 60 ML UN | 0.0000 | 10.3762 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 204583ae168141c465bdb5db8983b68d | ONOFRE | NULL | NULL | 11694161036 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791513933 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791513933 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 0.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 09091 | PROMETAZINA 25 MG/ML 2 ML SI IM IV | 0.0000 | 2.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 07293 | DIPIRONA GOTAS 500 MG/ML SO VO GT | 0.0000 | 0.8680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 11.5176 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 20575 | SORO FISIOLOGICO 0,9% 1000 ML SI I | 0.0000 | 5.8390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 19178 | SERINGA DESC 60 ML UN | 0.0000 | 10.3762 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872479330 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872479330 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e0811fe1a62804bd78f94686f8320ba5 | CLEYTON | NULL | NULL | 11802054835 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e0811fe1a62804bd78f94686f8320ba5 | CLEYTON | NULL | NULL | 11802054835 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e0811fe1a62804bd78f94686f8320ba5 | CLEYTON | NULL | NULL | 11802054835 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.4692 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866489135 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7fbed525c167f3b67f84c3a929b9fd93 | CARLOS | NULL | NULL | 11841939032 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 24538 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J | 0.0000 | 18.1366 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 4.2952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 12750 | LAMINA BISTURI N 10, 11,12 E 15 UN | 0.0000 | 0.5074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1792 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 3.0000 | 0.9800 | 2.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.1900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 7.8900 | 7.2395 | 0.6505 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.6152 | 0.3248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.5344 | 0.1956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2657 | 0.1443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.3535 | 0.4165 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.3630 | 0.8370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.0360 | 0.0840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0280 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.1996 | 1.4104 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.1996 | 1.4104 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51419 | FILTRO DE BARREIRA | 48.0000 | 19.2000 | 28.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.6892 | 0.9208 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8832 | 1.8868 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.6662 | 0.3338 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00557 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.6291 | 0.0409 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0600 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1988 | 0.1312 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3512 | 0.0488 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3512 | 0.0488 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3512 | 0.0488 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.7900 | 1.7890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.0000 | 2.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3220 | 0.2180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00124 | LUVA CIRURGICA UN | 4.3400 | 2.7893 | 1.5507 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00125 | LUVA CIRURGICA UN | 1.4500 | 0.9320 | 0.5180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 101001 | DIARIA DE ENFERMARIA | 173.3200 | 0.0000 | 173.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 02188 | ACICLOVIR 250 MG PO IV FA | 385.7900 | 0.0000 | 385.7900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 02188 | ACICLOVIR 250 MG PO IV FA | 192.8900 | 0.0000 | 192.8900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 0.0000 | 4.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 0.0000 | 4.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 0.0000 | 4.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00371 | PARACETAMOL 500 MG + CODEINA 30 MG CP VO UN | 0.9800 | 0.0000 | 0.9800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8110 | 0.1890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8110 | 0.1890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8110 | 0.1890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 5.3800 | 5.3740 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2789 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.4160 | 0.0940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1766 | 0.0034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11790566530 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6f6607a2010496db7dd4a54c62b91f64 | WEVERTON | NULL | NULL | 11795317635 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 08e4d66f0f8768725b9bb899442d7b1b | WALQUIRIA | NULL | NULL | 11810543038 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 08e4d66f0f8768725b9bb899442d7b1b | WALQUIRIA | NULL | NULL | 11810543038 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6aaf25d0c2992ee27eb6cfce134cded0 | JOSE | NULL | NULL | 11791811247 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.5320 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11862679347 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 0.0000 | NULL | VISITA(S) NAO JUSTIFICADA(S) OU NAO | 0411 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11862679347 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 0.0000 | NULL | VISITA(S) NAO JUSTIFICADA(S) OU NAO | 0411 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 01759 | ATADURA CREPOM 20 CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 57.3160 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11797032133 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810839031 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 95e4e4514a7a6b44f03e529a554a2509 | FLAVIANNE | NULL | NULL | 11723842434 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 435cc5e799cf8fa6cacbd547161e7fba | JOSE | NULL | NULL | 11807517831 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 435cc5e799cf8fa6cacbd547161e7fba | JOSE | NULL | NULL | 11807517831 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6f6607a2010496db7dd4a54c62b91f64 | WEVERTON | NULL | NULL | 11795317635 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1880 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9973 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 3.1800 | 3.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5820 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6660 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3977 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0800 | 0.0800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2100 | 0.2100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00464 | LIDOCAINA 2% C/ VASO SI IM PE ML | 13.6300 | 13.6220 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.3800 | 10.3800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6aaf25d0c2992ee27eb6cfce134cded0 | JOSE | NULL | NULL | 11791811247 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 13.1700 | 13.1700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2734 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1000 | 0.1000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4450 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11862679347 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00904 | NORIPURUM EV 20 MG/ML 5 ML SI IV AP | 37.6300 | 37.6300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4611 | 0.0689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 18716 | RISPERIDONA 1 MG CP VO UN | 1.0000 | 0.9980 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5468 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5488 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 53066 | FIO VICRYL 0 C/ AGULHA 3,7 5/8 J376H UN | 36.1400 | 36.1400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 1.2390 | -0.8890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00563 | ATROPINA 0,50 MG SI IV AP | 1.9500 | 1.9500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 0.2600 | 0.2549 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 40a78f03a2408497714a108ab38b64c7 | MARIA | NULL | NULL | 11873061615 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 0.0000 | NULL | GUIA DE CONSULTA NAO EXECUTADA | 0622 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11857118648 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 2.7669 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810846546 | 20010141 | ECOBIDMENSIONAL COM MAPEAMENTO DE F | 0.0000 | 0.0000 | NULL | EXAMES COMPLEMENTARES SEM LAUDO E/O | 0504 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 0.0000 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 01775 | ATADURA CREPOM 30 CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 57.3160 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 13.9200 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 103.1688 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6ccdd1d4b5d3b7769bf0664e7ef09371 | WALISON | NULL | NULL | 11790995936 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 08e4d66f0f8768725b9bb899442d7b1b | WALQUIRIA | NULL | NULL | 11810543038 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 08e4d66f0f8768725b9bb899442d7b1b | WALQUIRIA | NULL | NULL | 11810543038 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11790566530 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2120 | 0.0480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.0393 | 0.5107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 4.0787 | 1.0213 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 52771 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3P13T EV | 14.0700 | 14.0656 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8110 | 0.1890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8110 | 0.1890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8110 | 0.1890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8110 | 0.1890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00371 | PARACETAMOL 500 MG + CODEINA 30 MG CP VO UN | 0.9800 | 0.0000 | 0.9800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.0000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.0000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 0.0000 | 4.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 0.0000 | 4.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 0.0000 | 4.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 02188 | ACICLOVIR 250 MG PO IV FA | 192.8900 | 0.0000 | 192.8900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 101001 | DIARIA DE ENFERMARIA | 173.3200 | 0.0000 | 173.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00125 | LUVA CIRURGICA UN | 2.9000 | 2.8960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.9319 | 0.5181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3220 | 0.2180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3220 | 0.2180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3728 | 0.0272 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6070 | 0.1930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8832 | 1.8868 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00093 | SERINGA DESC 60 ML UN | 10.3800 | 3.4587 | 6.9213 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00093 | SERINGA DESC 60 ML UN | 10.3800 | 3.4587 | 6.9213 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3514 | 0.0486 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3512 | 0.0488 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4080 | 0.1020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0200 | 0.0100 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0260 | 0.0340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 00125 | LUVA CIRURGICA UN | 2.9000 | 1.2419 | 1.6581 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 00069 | SERINGA DESC 10 ML UN | 1.3300 | 0.8006 | 0.5294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3074 | 0.0226 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3067 | 0.0233 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1194 | 0.1406 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1194 | 0.1406 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6170 | 0.3830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6170 | 0.3830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.1700 | 0.7220 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2410 | 0.2690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2410 | 0.2690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 50.9456 | 3.1844 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 50.9456 | 3.1844 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857814941 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5886 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1756 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1756 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1756 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6874 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6874 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4650 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4650 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.7020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.9310 | 0.1290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.9830 | 1.4270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.9760 | 1.4340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.9760 | 1.4340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.9400 | 0.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5300 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5200 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5200 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 0.0000 | 6.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2004 | 0.1996 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4047 | 0.4053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4047 | 0.4053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1830 | 0.3470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.0720 | 0.0580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1350 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1350 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.3700 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.3700 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5888 | 0.1012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4566 | 0.0234 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | 0.6900 | 0.6000 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01137 | SONDA URETRAL N 12 UN | 0.7600 | 0.7550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01137 | SONDA URETRAL N 12 UN | 0.7600 | 0.7550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1610 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3220 | 0.2780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3220 | 0.2780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3400 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0400 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2900 | 4.2870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3370 | 0.4330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 308.7600 | 299.6801 | 9.0799 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 118.2700 | 103.4840 | 14.7860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 02204 | SUPOSITORIO GLICERINA ADULTO SP VR UN | 0.8200 | 0.7600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 02204 | SUPOSITORIO GLICERINA ADULTO SP VR UN | 0.8200 | 0.7600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 02204 | SUPOSITORIO GLICERINA ADULTO SP VR UN | 0.8200 | 0.7500 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 4.9700 | 4.9686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 6.2100 | 6.2083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.6791 | 0.5109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 9.3583 | 1.0217 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 9.3583 | 1.0217 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1700 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.4800 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2100 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2100 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 6.3000 | 5.5500 | 0.7500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.6300 | 0.5700 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 2.1600 | 1.9200 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 18.0000 | 16.5000 | 1.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3760 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.2740 | 0.3260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 51163 | AGUA BIDESTILADA 250 ML | 11.5800 | 11.5760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8453 | 0.6047 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00126 | LUVA CIRURGICA UN | 5.7900 | 3.3755 | 2.4145 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.4594 | 2.1506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 32050038 | RX Tórax: P. A. | 15.7500 | 12.6020 | 3.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11843120635 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1888 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1000 | 0.1000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.7700 | 1.1147 | -0.3447 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 53051 | POLIPROPILENO AZUL MONOFILAMENTO Cardiovascular Aco 300 | 18.3100 | 18.3080 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.6100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 28.4900 | 28.4900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5872 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.3000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 31828 | PREDNISONA 20 MG CP VO UN | 1.5000 | 1.5000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.8086 | 0.8314 | -0.1614 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 51584 | ESPARADRAPO MICROPORE | 0.8633 | 0.6758 | -0.1658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 3.5900 | 3.5580 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.7054 | -0.0354 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0232 | -0.0232 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7820 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c921d7eb5b5e25869214e9543e38f07b | SIUVALDA | NULL | NULL | 11785762942 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.4450 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0280 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9968 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5836 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0268 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1536 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0200 | 0.0200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4028 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2603 | -0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2603 | -0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11810539330 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 67487b530d34314734fcf47c37285e70 | OSIEL | NULL | NULL | 11723345232 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5340 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 67487b530d34314734fcf47c37285e70 | OSIEL | NULL | NULL | 11723345232 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 124e9cf5b336a089646beba6933bf1be | KARLA | NULL | NULL | 11803808035 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c6daf3d4f9b49263bd820466bbb2dfe3 | ENIO | NULL | NULL | 11810839031 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 717823b66261af7227ad550cebba1668 | FELISMINA | NULL | NULL | 11815963714 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7820 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2676 | -0.0076 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5353 | -0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.4000 | 0.4051 | -0.0051 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5340 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2304 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1864 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2724 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8340 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.5233 | -0.1733 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.0900 | 1.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1128 | 0.4172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00471 | LIDOCAINA 2% GE OU TP GR | 0.2600 | 0.2588 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0528 | 0.0456 | -0.0156 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 2.0728 | 0.9462 | 1.1038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.5100 | 8.0536 | -7.5436 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.6044 | -0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 1.4184 | -1.0684 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.4736 | 0.0364 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1344 | 0.1256 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1344 | 0.1256 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1344 | 0.1256 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1344 | 0.1256 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1344 | 0.1256 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1731 | 0.0669 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 01313 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 6.4500 | 6.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 52770 | Fio vicryl 3-0 | 122.9800 | 122.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.0422 | 0.0365 | -0.0065 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.0422 | 0.0365 | -0.0065 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.0422 | 0.0365 | -0.0065 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2722 | 0.1461 | 0.1139 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2722 | 0.1461 | 0.1139 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3773 | 0.3927 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2752 | -0.0152 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9865 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 53051 | POLIPROPILENO AZUL MONOFILAMENTO Cardiovascular Aco 300 | 18.3100 | 18.3068 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2f854de70d3fd96f252b56d7365d892b | ANA | NULL | NULL | 11745846233 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.1064 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2f854de70d3fd96f252b56d7365d892b | ANA | NULL | NULL | 11745846233 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11775093633 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fee4258fac7a95841c7e070ca0661700 | ANTONIO | NULL | NULL | 11772447639 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fee4258fac7a95841c7e070ca0661700 | ANTONIO | NULL | NULL | 11772447639 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 1.1974 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11706199130 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11704479331 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 24c7a189d55648ee51fabca3bb04037a | CAROENE | NULL | NULL | 11810763238 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 6.8164 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11797032133 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c834ff3ed3ac7af93247dafdc879e033 | DALVA | NULL | NULL | 11824298630 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.7980 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c834ff3ed3ac7af93247dafdc879e033 | DALVA | NULL | NULL | 11824298630 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | fb2d3eadccc82ffa38b0adbb5e16123f | DEUCELIA | NULL | NULL | 11737021639 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 5.1752 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | ef678515381939d9342664b96e7308c7 | EDSON | NULL | NULL | 11733887135 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d7950724c3cb4740081170c6a4d75e1 | EDUARDO | NULL | NULL | 11722125234 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1fb888a692bccc089af5d2b8b27bce6c | ERIKA | NULL | NULL | 11634771436 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 67487b530d34314734fcf47c37285e70 | OSIEL | NULL | NULL | 11723345232 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 1.9984 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9cd7e1103b885b1de3f7014fbe86079a | OTONIEL | NULL | NULL | 11634744232 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 0.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d8275d7e1b4720d2b25cb8765ee329eb | RICARDO | NULL | NULL | 11829312948 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.9990 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 57.5880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 01546 | METARAMINOL 10 MG 1 ML SI IM SC IV | 0.0000 | 4.5060 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 05444 | CLORETO DE POTASSIO 15% 10 ML SI I | 0.0000 | 0.6862 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11843120635 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 07293 | DIPIRONA GOTAS 500 MG/ML SO VO GT | 0.0000 | 0.8680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 59463 | MILRINONA 1 MG/ML 10 ML SI IV AP | 0.0000 | 63.0690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11808889232 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9645251a3636956acc690592c2f960f1 | LEVINDO | NULL | NULL | 11726008030 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864650230 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11717219830 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2475 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2477 | 0.0623 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9050 | 0.0550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4525 | 0.0275 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 2.3670 | 2.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5424 | 0.2676 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 337.4100 | 20.5924 | 316.8176 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2081 | 3.2019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2081 | 3.2019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2081 | 3.2019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2084 | 3.2016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3100 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 1.2000 | 0.9300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.4600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.4700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.1500 | 0.1200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 43.1900 | 39.6616 | 3.5284 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.6447 | 0.2353 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.6447 | 0.2353 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 10.2152 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3984 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3984 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11754678530 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2100 | 0.0800 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3820 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3820 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.1940 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 10.5600 | 10.5555 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5853 | 0.2247 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2890 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3710 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3790 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11831061738 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bce83428ddaef831cd5652e2dee0f666 | MARIA | NULL | NULL | 11675671233 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 01b65cae7e1c979708ab72a46c9dd33f | MARIA | NULL | NULL | 11779209030 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 01b65cae7e1c979708ab72a46c9dd33f | MARIA | NULL | NULL | 11779209030 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3ebc79b10ebfb3666ee494caadd40f6c | MANOELA | NULL | NULL | 11723943437 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.1064 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3ebc79b10ebfb3666ee494caadd40f6c | MANOELA | NULL | NULL | 11723943437 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 24430 | FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 124e9cf5b336a089646beba6933bf1be | KARLA | NULL | NULL | 11803808035 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 124e9cf5b336a089646beba6933bf1be | KARLA | NULL | NULL | 11803808035 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 435cc5e799cf8fa6cacbd547161e7fba | JOSE | NULL | NULL | 11807517831 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 11.8766 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820252938 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820252938 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1afd3b3f842202a508f71ef4811ac75a | HELOAH | NULL | NULL | 11810848433 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11698074734 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11817085435 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 96aca2102ab122b1b57bb31e4e5bd131 | GERALDINA | NULL | NULL | 11829669633 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 96aca2102ab122b1b57bb31e4e5bd131 | GERALDINA | NULL | NULL | 11829669633 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843551034 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843551034 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f47a94061fd464a75276359e386b5791 | GENERONCIO | NULL | NULL | 11817891534 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.0266 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f47a94061fd464a75276359e386b5791 | GENERONCIO | NULL | NULL | 11817891534 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f47a94061fd464a75276359e386b5791 | GENERONCIO | NULL | NULL | 11817891534 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f47a94061fd464a75276359e386b5791 | GENERONCIO | NULL | NULL | 11817891534 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f47a94061fd464a75276359e386b5791 | GENERONCIO | NULL | NULL | 11817891534 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0009ba6bad5451e560474ca63122de13 | EVALDO | NULL | NULL | 11829428335 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0009ba6bad5451e560474ca63122de13 | EVALDO | NULL | NULL | 11829428335 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11872109044 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11872109044 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11861139439 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2f854de70d3fd96f252b56d7365d892b | ANA | NULL | NULL | 11745846233 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 17db6ae646cf3b24117dd09571f18089 | ALMY | NULL | NULL | 11873835430 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 2.7669 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 2.7669 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 19143 | SERINGA DESC 05 ML UN | 0.0000 | 0.3844 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11880523818 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 0.0000 | NULL | GUIA DE CONSULTA NAO EXECUTADA | 0622 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 0.0000 | NULL | VISITA(S) NAO JUSTIFICADA(S) OU NAO | 0411 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 3ddbe0467197d67f2d3f7c602514920e | NILZA | NULL | NULL | 11887585741 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.2560 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 20575 | SORO FISIOLOGICO 0,9% 1000 ML SI I | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 91.7056 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | d15b5fec33db7b7be2a82c7d399d2b09 | JOSE | NULL | NULL | 11873607014 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1770 | 0.3530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2500 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 11.5760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0d425296c53f60e378cb18e7d0ac87ba | SOLANGE | NULL | NULL | 11810832433 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6ccdd1d4b5d3b7769bf0664e7ef09371 | WALISON | NULL | NULL | 11790995936 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6060 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3060 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2838 | 0.1162 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.0000 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.0000 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.0000 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0000 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51195 | Prednisolona 20mg Cp. | 1.5000 | 0.0000 | 1.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 51195 | Prednisolona 20mg Cp. | 1.5000 | 0.0000 | 1.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.0000 | 0.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.0000 | 0.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.0000 | 0.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.0000 | 0.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 0.0000 | 2.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8440 | 0.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2050 | 0.0950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.7900 | 1.5510 | 0.2390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 0.0000 | 4.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 27.0600 | 0.0000 | 27.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00117 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS UN | 16.4000 | 16.3968 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2860 | 0.2240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 40.5900 | 0.0000 | 40.5900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 2.8000 | 2.4021 | 0.3979 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8930 | 2.8970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.2350 | 0.1350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8856 | 0.5644 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4710 | 0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.4860 | 0.4140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0885 | 3.3215 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 337.4100 | 8.7637 | 328.6463 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 2.6600 | 2.2940 | 0.3660 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2530 | 0.1470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2520 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0589 | 0.5311 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.6000 | 1.5890 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 08460 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U | 0.0000 | 16.3969 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11871758430 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11871758430 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843704830 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 27162 | ROPIVACAINA 10 MG/ML 20 ML SI PE M | 0.0000 | 2.0052 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836634 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836634 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836634 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11841836634 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 85deaf02df0c2e477b92eab40e5585a2 | ISAURA | NULL | NULL | 11772106738 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2e7873e3e1a70aa7debf49ee5c2c7f27 | IZABEL | NULL | NULL | 11802066237 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2e7873e3e1a70aa7debf49ee5c2c7f27 | IZABEL | NULL | NULL | 11802066237 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 13404 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV | 0.0000 | 19.5772 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 37702 | FIO PROLENE 4.0 C/ AGULHA 2,0 1/2 9 | 0.0000 | 91.5280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 124e9cf5b336a089646beba6933bf1be | KARLA | NULL | NULL | 11803808035 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 124e9cf5b336a089646beba6933bf1be | KARLA | NULL | NULL | 11803808035 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0975 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11662669630 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11831061738 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11810539330 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2603 | -0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 74d2fe0c6ba2c68b494c6879165e4d84 | IRACY | NULL | NULL | 11808393443 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 74d2fe0c6ba2c68b494c6879165e4d84 | IRACY | NULL | NULL | 11808393443 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5804 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 74d2fe0c6ba2c68b494c6879165e4d84 | IRACY | NULL | NULL | 11808393443 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 01336 | FIO MONONYLON 4-0 C/ AGULHA 2,0 3/8 14502T EV | 6.6900 | 6.6838 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3968 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5922 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6aaf25d0c2992ee27eb6cfce134cded0 | JOSE | NULL | NULL | 11791811247 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.3200 | 0.3200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6aaf25d0c2992ee27eb6cfce134cded0 | JOSE | NULL | NULL | 11791811247 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1558 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2752 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.1241 | -0.1241 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2540 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b58a7144d95301885c496c2c5f3acef7 | TEREZINHA | NULL | NULL | 11830149046 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9699 | 0.0301 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4028 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.6400 | 1.6400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1025 | -0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3004 | 0.0296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5018 | 0.1682 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.7700 | 0.8073 | -0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 53066 | FIO VICRYL 0 C/ AGULHA 3,7 5/8 J376H UN | 36.1400 | 36.1344 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 123.4500 | 123.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3911 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 17252 | LIDOCAINA 2% GE OU TP GR | 4.7000 | 4.6954 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.5573 | -0.1773 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.5800 | 0.8360 | -0.2560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2771 | -0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 11.8800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7622 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7626 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1220 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 83069b6518284d0db86057086e701395 | ANAPAULA | NULL | NULL | 11828696618 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1088 | 0.1512 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4990 | 0.5010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2400 | 0.1660 | 0.0740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2270 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6140 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6140 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.4600 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8970 | 2.8930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 0.5431 | 6.2769 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2715 | 3.1385 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.4000 | 0.0000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3509 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00098 | ABOCATH N 14 A 22 UN | 3.4700 | 2.3128 | 1.1572 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00098 | ABOCATH N 14 A 22 UN | 3.4700 | 2.3128 | 1.1572 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.8000 | 0.5370 | 0.2630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.6000 | 0.4020 | 0.1980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.6000 | 0.4020 | 0.1980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.6000 | 0.4020 | 0.1980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.9200 | 0.5613 | 0.3587 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.4600 | 1.3006 | 0.1594 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.4600 | 1.3006 | 0.1594 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1150 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1150 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5887 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.1080 | 0.1620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1088 | 0.1512 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1088 | 0.1512 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1280 | 0.3820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4990 | 0.5010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.3000 | 0.0600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.7000 | 10.8300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3580 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2715 | 3.1385 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2715 | 3.1385 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.3160 | 0.8840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.1200 | 0.0400 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 30.5600 | 30.5566 | 0.0034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 72.9300 | 72.9220 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3509 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.9200 | 0.5613 | 0.3587 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4900 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.4600 | 1.3006 | 0.1594 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.4600 | 1.3006 | 0.1594 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1150 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1338 | 0.0562 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 4.3400 | 3.0000 | 1.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4800 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1100 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3670 | 0.2230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3074 | 0.0226 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54687 | IODOPOVIDONA SD TP ML | 0.2000 | 0.0500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54653 | DERSANI LC TP ML | 9.7000 | 7.2700 | 2.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54653 | DERSANI LC TP ML | 9.7000 | 7.2800 | 2.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51584 | ESPARADRAPO MICROPORE | 1.2800 | 0.9680 | 0.3120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51584 | ESPARADRAPO MICROPORE | 1.0200 | 0.7720 | 0.2480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6230 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6230 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6230 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.3800 | 0.3641 | 0.0159 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.3800 | 0.3641 | 0.0159 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.3800 | 0.3641 | 0.0159 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 9.0600 | 6.5300 | 2.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2020 | 0.1980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2020 | 0.1980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2410 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1180 | 0.1220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11857118648 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1194 | 0.1406 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3070 | 0.2030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3080 | 0.2020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d8275d7e1b4720d2b25cb8765ee329eb | RICARDO | NULL | NULL | 11829312948 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4088 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 3.3200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 5.3800 | 5.3680 | 0.0120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 01137 | SONDA URETRAL N 12 UN | 0.7600 | 0.7557 | 0.0043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 00125 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 00126 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2500 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9450 | 0.0550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2900 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.3800 | 0.3780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.3800 | 0.3780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.3800 | 0.3780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1786 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 42291 | COLETOR P/ INCOTINECIA URINARIA | 1.2700 | 0.9656 | 0.3044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.6084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.0844 | 0.0956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.0844 | 0.0956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.0844 | 0.0956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.1100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.1100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.1100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 60.8400 | 31.7407 | 29.0993 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 60.8400 | 31.7407 | 29.0993 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 10.5802 | 9.6998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2810 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2810 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0640 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0640 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6350 | 0.3650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0958 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0958 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5380 | 0.4620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1790 | 0.1510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 65c904a4600e4317743bcb69c2c077d0 | VILMAR | NULL | NULL | 11862679347 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e6b5a247bce82d3ace7fde9873019485 | ISABEL | NULL | NULL | 11842700748 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51662 | Simeticona frasco c/15 ml | 2.7000 | 2.2000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2500 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7659 | 0.2341 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 247a425952c6f6cde1fa7d379c5eeb01 | CARMEM | NULL | NULL | 11704479331 | 07315 | DIPROSALIC (DIPROPIONATO DE BETAMET | 0.0000 | 0.7483 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 32905 | EQUIPO POLIFIX 4ş VIAS UN | 0.0000 | 5.0984 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 33693 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV | 0.0000 | 105.6772 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | e59076733da006b21052b30be24cb3ce | ISAURA | NULL | NULL | 11864627018 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | eff08749d885c5abdbd269091d7c9873 | WILSON | NULL | NULL | 11880726712 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 5028b91ae029d39683ec0bebf5177406 | MARILEIDE | NULL | NULL | 11896007818 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 5dab1fdda20d70b77353072c6b9ccafc | HELAINE | NULL | NULL | 11893507114 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 59469fbe5cca637f2e497e85d9e4ed21 | CLEA | NULL | NULL | 11885521816 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 54283 | LEVOSIMENDANA 2,5 MG/ML 5 ML SI IV | 0.0000 | 4530.9399 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c98a28fdb952ff1b7944a4beef97759f | VIOLETA | NULL | NULL | 11639736930 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 24430 | FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 98d84ac332d267c79f65dcf2e74bbcb9 | SEBASTIAO | NULL | NULL | 11676108934 | 19518 | SOLUÇAO DE GLICERINA 12% 500 ML SL | 0.0000 | 4.4281 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 98d84ac332d267c79f65dcf2e74bbcb9 | SEBASTIAO | NULL | NULL | 11676108934 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.9993 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 15539 | OLEO MINERAL 100% SO VO ML | 0.0000 | 7.5280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 0.0000 | 1.5694 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 18.6794 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 34010173 | TOMOGRAFIA COMPUTADORIZADA DE ABDOM | 0.0000 | 477.0390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 11.5176 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 01929 | ATROPINA 0,50 MG SI IV AP | 0.0000 | 1.9467 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791513933 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 14664 | NALOXONA 0,4 MG/ML 1 ML SI IM IV S | 0.0000 | 7.4179 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 5.1752 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dc7ffe44397e98c8a288789f84d01f2c | MARLENE | NULL | NULL | 11790897640 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 19178 | SERINGA DESC 60 ML UN | 0.0000 | 10.3762 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00272 | EPINEFRINA 1 MG/ML 1 ML SI SC IM I | 0.0000 | 1.4757 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11857739533 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11857739533 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11857739533 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11857739533 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872479330 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e0811fe1a62804bd78f94686f8320ba5 | CLEYTON | NULL | NULL | 11802054835 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 19178 | SERINGA DESC 60 ML UN | 0.0000 | 10.3762 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866489135 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866489135 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866489135 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866489135 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 7fbed525c167f3b67f84c3a929b9fd93 | CARLOS | NULL | NULL | 11841939032 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 19178 | SERINGA DESC 60 ML UN | 0.0000 | 9.5580 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00090 | SERINGA DESC 20 ML UN | 6.4600 | 6.4400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7270 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.9000 | 0.2900 | 0.6100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.1900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.6152 | 0.3248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.6152 | 0.3248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.6152 | 0.3248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.6154 | 0.3246 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3840 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2561 | 0.1439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2577 | 0.1423 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.3535 | 0.4165 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 2.4000 | 0.7270 | 1.6730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.1810 | 0.4190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0900 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.1996 | 1.4104 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3079 | 0.0221 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2870 | 0.0430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00090 | SERINGA DESC 20 ML UN | 4.3000 | 4.2900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 17.8100 | 16.4416 | 1.3684 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 17.8100 | 16.4416 | 1.3684 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.6930 | 0.9770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51241 | AGULHA 123X45 | 0.7700 | 0.5765 | 0.1935 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51241 | AGULHA 123X45 | 0.5800 | 0.4343 | 0.1457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 3.8853 | 1.2947 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00124 | LUVA CIRURGICA UN | 4.3400 | 3.1500 | 1.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4100 | 0.1600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2100 | 0.0300 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 0.0000 | 4.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7112 | 0.0988 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7112 | 0.0988 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2456 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 2.6600 | 2.0900 | 0.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7870 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6070 | 0.1930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6070 | 0.1930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3728 | 0.0272 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1760 | 0.4940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3220 | 0.2180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 019b97f98f116a7669add3e9de0c2042 | MARIA | NULL | NULL | 11857217646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 101001 | DIARIA DE ENFERMARIA | 173.3200 | 0.0000 | 173.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8110 | 0.1890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8110 | 0.1890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.0393 | 0.5107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.4160 | 0.0940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2120 | 0.0480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2120 | 0.0480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2120 | 0.0480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2120 | 0.0480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2120 | 0.0480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 78.3800 | 78.3792 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11790566530 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11790566530 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11790566530 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6f6607a2010496db7dd4a54c62b91f64 | WEVERTON | NULL | NULL | 11795317635 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6f6607a2010496db7dd4a54c62b91f64 | WEVERTON | NULL | NULL | 11795317635 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 08e4d66f0f8768725b9bb899442d7b1b | WALQUIRIA | NULL | NULL | 11810543038 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6ccdd1d4b5d3b7769bf0664e7ef09371 | WALISON | NULL | NULL | 11790995936 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 13757 | IODOPOVIDONA SD TP ML | 0.0000 | 0.4000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 101001 | DIARIA DE ENFERMARIA | 0.0000 | 1709.3395 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 33010021 | ABDOMEM TOTAL ABDOMEM SUPERIOR RINS | 0.0000 | 0.0000 | NULL | EXAMES COMPLEMENTARES SEM LAUDO E/O | 0504 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 19216 | SEVOFLURANO 1 ML/ML (100%) SL IN M | 0.0000 | 125.7500 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 2.5488 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d2a77c5334898ed2bd6b1c1b87ca854e | ANNA | NULL | NULL | 11892066140 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0000 | 0.0150 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11857118648 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.2560 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 2fb5ec47cedb46e5e8523ea81ea960fd | JURACY | NULL | NULL | 11823790617 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | d71d58aa8212414d84a5219d0ce7852b | LUZILDA | NULL | NULL | 11839903711 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843701113 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829309817 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866466417 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 7eeeda3356ba45d666ab10e6d0e510e4 | ROSEMARY | NULL | NULL | 11839916110 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11821541917 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | d76a8885501c7719c18cf721866a7488 | OMARINO | NULL | NULL | 11823927310 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 677883bafc9a2e01dd3bac8f350c9527 | MARCOS | NULL | NULL | 11830989312 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 3a72f28eefaa15df05ee7bb057b8921e | DEMIA | NULL | NULL | 11887642418 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | b03389bdf2cbb0a2494ef30469e9d4d6 | ODILIO | NULL | NULL | 11895168510 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | b1a2769ee79b476394a9a7596bba82da | ADRIANA | NULL | NULL | 11862714212 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6327 | 0.3673 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0110 | 0.0190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.6661 | 0.3339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9002 | 0.0998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9002 | 0.0998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5034 | 0.1666 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.4566 | 1.0934 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0200 | 0.0130 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0320 | 0.0280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1978 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.8000 | 1.7968 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 0.4800 | 0.4100 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2810 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2680 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.2680 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2780 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.7900 | 6.5270 | 0.2630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 25.3244 | 12.6656 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 25.3244 | 12.6656 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 77.3500 | 75.3200 | 2.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 81.9000 | 79.7400 | 2.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 115.7000 | 112.6500 | 3.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 2.5713 | 3.8587 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51419 | FILTRO DE BARREIRA | 24.0000 | 12.0000 | 12.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2970 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2970 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2970 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6031 | 0.0669 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2794 | 0.2306 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2794 | 0.2306 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2794 | 0.2306 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.2707 | 0.3193 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4380 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0900 | 1.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 37.0800 | 1.8600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d8275d7e1b4720d2b25cb8765ee329eb | RICARDO | NULL | NULL | 11829312948 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 54653 | DERSANI LC TP ML | 19.4000 | 14.5500 | 4.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.4540 | 0.6060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0351 | 0.4149 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2564 | 0.0636 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2100 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.4100 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4100 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1060 | 0.2940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.2135 | 0.5965 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b2373e4552f0d6fbbe9a76941dcfe57f | JOAQUIM | NULL | NULL | 11744228149 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2789 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00098 | ABOCATH N 14 A 22 UN | 11.3000 | 11.2952 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b406be7a9523d3b30e1c377d6ea6e835 | EDSON | NULL | NULL | 11843734043 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3575 | 0.0925 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3570 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3570 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2993 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4514 | 0.1386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02153 | CITONEURIN (TIAMINA + PIRIDOXINA + CIANOCOBALAMIN | 2.0400 | 1.8500 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0363 | 0.3737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.8552 | 1.2248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51456 | LIDOCAINA 2% S/ VASO SI PE SC ML | 0.4700 | 0.3600 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.4300 | 0.4289 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5482 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.5900 | 10.4500 | 3.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 306deeaaeec5994a39124d73959ef5ca | ANTONIO | NULL | NULL | 11562145648 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3001 | 0.0299 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.2746 | 1.2754 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0290 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.0580 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.0580 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1460 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1460 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1140 | 0.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2230 | 0.2870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2230 | 0.2870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3370 | 0.4330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6494 | 0.1606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6494 | 0.1606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6494 | 0.1606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52403 | MORFINA 1 MG/ML 2 ML SI IM IT IV PE AP | 3.9900 | 3.7799 | 0.2101 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52403 | MORFINA 1 MG/ML 2 ML SI IM IT IV PE AP | 3.9900 | 3.7799 | 0.2101 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6330 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2588 | 0.2212 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2571 | 0.2229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2571 | 0.2229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2571 | 0.2229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5143 | 0.4457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5143 | 0.4457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2600 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5240 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 12880 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN | 27.0800 | 20.2783 | 6.8017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.0040 | 0.8960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 01656 | DIAZEPAM 5 MG/ML 2 ML SI IM IV AP | 0.3900 | 0.3600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 01656 | DIAZEPAM 5 MG/ML 2 ML SI IM IV AP | 0.3900 | 0.3500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00031 | AGULHA DESC 13 X 45 UN | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0500 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.1800 | 1.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.2200 | 0.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 56.1500 | 55.4870 | 0.6630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 66.0600 | 65.2800 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 79.2700 | 78.3340 | 0.9360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 2.3900 | 2.3881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 2.3900 | 2.3881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0743 | 0.3357 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.7309 | -0.0609 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0386 | -0.0386 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e891ec8d86a7d4a00a987697220afe88 | LIOMALIA | NULL | NULL | 11782041047 | 01313 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 6.4500 | 6.4480 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 10840035729f76d2e88ded7ed5431989 | RENILDA | NULL | NULL | 11755938642 | 53068 | FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371H EV | 40.1500 | 40.1500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0200 | 0.0200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6855 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.0000 | 0.3500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed8e38c15821e26d74f2a8577dbbf332 | EDSON | NULL | NULL | 11837710046 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | c871bf2102f3f765eb0b6fd99894e55d | DIVALDINA | NULL | NULL | 11649580243 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7b3668d9fb9041b58a4ec7f72460ca2c | CRISTIANO | NULL | NULL | 11557846446 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2000 | 1.2000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 1.0600 | 0.9558 | 0.1042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.3186 | 0.0314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.6200 | 0.6352 | -0.0152 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.3176 | -0.0076 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2116 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5832 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | de2f585d230aba1bedd628a968d28cfd | BRAZ | NULL | NULL | 11782081140 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.5453 | -0.3353 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51584 | ESPARADRAPO MICROPORE | 2.5900 | 1.3974 | 1.1926 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.4236 | -0.2136 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.7700 | 0.0000 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11842262547 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.4327 | -0.0527 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.4327 | -0.0527 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54555 | AEROLIN | 0.5000 | 0.5000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.3075 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 223.2000 | 223.2000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 44cc69718ec9e93ce51bda2fb99e2982 | LEOCY | NULL | NULL | 11791641844 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2000 | 1.2000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 67.2800 | 67.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 53066 | FIO VICRYL 0 C/ AGULHA 3,7 5/8 J376H UN | 36.1400 | 36.1344 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0268 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 1.4060 | -1.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 5.1000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1260 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52830 | Agua Bidestilada 1000ml | 8.9000 | 8.9000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4010 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e059645a816c79f801859032d54334d6 | MARIA | NULL | NULL | 11653454440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5376 | -0.0276 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2688 | -0.0088 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9984 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 0.3800 | 0.3800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 842f31d250538a7062c3a788dc64bd96 | EURIDES | NULL | NULL | 11872109044 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5080 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2861 | 0.2239 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2861 | 0.2239 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1431 | 0.1169 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5852 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 59d331bb48e02db0bb4df10700930628 | ADEZIA | NULL | NULL | 11811648141 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11821809845 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ad6efdbed6d7c465ce5a9336925cb5b6 | ADALBERTO | NULL | NULL | 11821809845 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5804 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030338 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11813317925 | 33010358 | DOPPLER COLORIDO DE TRES OU MAIS VA | 0.0000 | 208.3785 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 63f5f65c246cf250cf1777fe71db1d3a | MARIA | NULL | NULL | 11798732430 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.2000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2900 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03763 | DOMPERIDONA 10 MG CP VO UN | 0.3200 | 0.2800 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0490 | 0.4810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.0990 | 0.9610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.0990 | 0.9610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 6.4300 | 6.0000 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 12.8600 | 12.0000 | 0.8600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1360 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1920 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3191 | 0.0109 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.2800 | 0.9200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.5000 | 0.3400 | 1.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 0.4100 | 1.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4562 | 0.0238 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9109 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9109 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.8219 | 0.0981 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.2660 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.2660 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 69aadc630b7f8292e1b030d75464f4c3 | ADENIR | NULL | NULL | 11873183547 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2270 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2270 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 27.0600 | 5.4100 | 21.6500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.7100 | 10.8200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2715 | 3.1385 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.2725 | 3.1375 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 10.6907 | 1.1893 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2751 | 0.2349 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2755 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.3160 | 0.8840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 02356 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7106 | 0.0994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3537 | 0.0463 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843726140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00111 | ABOCATH N 14 A 22 UN | 3.4700 | 2.3128 | 1.1572 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00097 | ABOCATH N 14 A 22 UN | 3.4700 | 2.3128 | 1.1572 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.9200 | 0.5613 | 0.3587 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4900 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.4600 | 1.3008 | 0.1592 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.3500 | 1.3418 | 1.0082 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00090 | SERINGA DESC 20 ML UN | 0.5000 | 0.4543 | 0.0457 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1150 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2400 | 0.1150 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 3.2300 | 3.2210 | 0.0090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1333 | 0.0567 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1333 | 0.0567 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1333 | 0.0567 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1333 | 0.0567 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5140 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 12880 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN | 27.0800 | 20.2783 | 6.8017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1080 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0020 | 0.4480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1100 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1100 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3673 | 0.0327 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.1500 | 0.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 54653 | DERSANI LC TP ML | 19.4000 | 14.5500 | 4.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.0422 | 0.7778 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0211 | 0.3889 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5820 | 0.1880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.2700 | 0.2600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.3800 | 0.3641 | 0.0159 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.3800 | 0.3641 | 0.0159 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51241 | AGULHA 123X45 | 0.1900 | 0.1820 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 03280 | CLOREXIDINA 2 % ST TP ML | 2.1300 | 0.7990 | 1.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 18.1200 | 13.0400 | 5.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.5900 | 9.7800 | 3.8100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 9bb6463d5eed1e608dce4373f5943fd8 | CARMEM | NULL | NULL | 11551195946 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2020 | 0.1980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8087 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 10.2165 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4088 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4088 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51584 | ESPARADRAPO MICROPORE | 1.7900 | 1.7860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.7900 | 1.7860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1730 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0cd20b75b41caae16c5833d4bae10d29 | PAULO | NULL | NULL | 11839922145 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | f28c271cad522c76ffba3e8106f37d5b | ANA | NULL | NULL | 11804892140 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.6000 | 1.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 08cf5484602bc12ab4d52249e8bcb459 | NIVALDO | NULL | NULL | 11842375943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9450 | 0.0550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.3911 | 0.3789 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.5995 | 0.4005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51241 | AGULHA 123X45 | 0.1900 | 0.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1786 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 12880 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN | 27.0800 | 0.0000 | 27.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.6084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6900 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6900 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.1100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.8300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 10.5802 | 9.6998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.0000 | 2.1000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 288c65f9b73435e8f26424efb33a58a3 | CARLOS | NULL | NULL | 11866736540 | 13757 | IODOPOVIDONA SD TP ML | 0.0000 | 0.4000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | dcdc09436d06c92ac9dfa8591f1b9f32 | SEBASTIANA | NULL | NULL | 11793195945 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 0.0000 | NULL | VISITA(S) NAO JUSTIFICADA(S) OU NAO | 0411 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 58327 | PARAFUSO BLOQUEADO 2,6 A 3,9 MM - T | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aa60abe9d3fea14fd61aad71bb6e1002 | CARLOS | NULL | NULL | 11629599041 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 24546 | FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371 | 0.0000 | 40.1468 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 27600 | ONDANSETRONA 2 MG/ML 4 ML SI IM I | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1fb888a692bccc089af5d2b8b27bce6c | ERIKA | NULL | NULL | 11634771436 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1fb888a692bccc089af5d2b8b27bce6c | ERIKA | NULL | NULL | 11634771436 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1fb888a692bccc089af5d2b8b27bce6c | ERIKA | NULL | NULL | 11634771436 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.9993 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11861139439 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11754678530 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | f23b9d477a44da8110a6efcdc6d0fb9f | EULICE | NULL | NULL | 11725043633 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0009ba6bad5451e560474ca63122de13 | EVALDO | NULL | NULL | 11829428335 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 0009ba6bad5451e560474ca63122de13 | EVALDO | NULL | NULL | 11829428335 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | a587c394629d3efb4da79105c3e04678 | GERALDA | NULL | NULL | 11843551034 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 96aca2102ab122b1b57bb31e4e5bd131 | GERALDINA | NULL | NULL | 11829669633 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 96aca2102ab122b1b57bb31e4e5bd131 | GERALDINA | NULL | NULL | 11829669633 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 96aca2102ab122b1b57bb31e4e5bd131 | GERALDINA | NULL | NULL | 11829669633 | 20575 | SORO FISIOLOGICO 0,9% 1000 ML SI I | 0.0000 | 5.8390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9f871c8700533c2ca6df5c8bb36dca3c | HELIA | NULL | NULL | 11817085435 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11698074734 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.9990 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1afd3b3f842202a508f71ef4811ac75a | HELOAH | NULL | NULL | 11810848433 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 0.5987 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a20efd4f649fb8a70b15794ef74ddb4d | IRANI | NULL | NULL | 11805184341 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11791607145 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820252938 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820252938 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2361338c0ddb996f75d6f2b19b041185 | JOSE | NULL | NULL | 11836782640 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 435cc5e799cf8fa6cacbd547161e7fba | JOSE | NULL | NULL | 11807517831 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 435cc5e799cf8fa6cacbd547161e7fba | JOSE | NULL | NULL | 11807517831 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 11705601835 | 27596 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 11705601835 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 124e9cf5b336a089646beba6933bf1be | KARLA | NULL | NULL | 11803808035 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 124e9cf5b336a089646beba6933bf1be | KARLA | NULL | NULL | 11803808035 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5bced1795d4477bbb56e945ed8e522ad | LOURDINHA | NULL | NULL | 11688263237 | 02461 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.0000 | 0.4255 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5bced1795d4477bbb56e945ed8e522ad | LOURDINHA | NULL | NULL | 11688263237 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5bced1795d4477bbb56e945ed8e522ad | LOURDINHA | NULL | NULL | 11688263237 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0000 | 0.0150 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6a746080400e8165df6955a40cdf17ff | LUCIMAR | NULL | NULL | 11705666938 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 6a746080400e8165df6955a40cdf17ff | LUCIMAR | NULL | NULL | 11705666938 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 3ebc79b10ebfb3666ee494caadd40f6c | MANOELA | NULL | NULL | 11723943437 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 02956e43f656c90a124516e4608ae71c | MARCIA | NULL | NULL | 11817910237 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 02956e43f656c90a124516e4608ae71c | MARCIA | NULL | NULL | 11817910237 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 05444 | CLORETO DE POTASSIO 15% 10 ML SI I | 0.0000 | 1.0293 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 59463 | MILRINONA 1 MG/ML 10 ML SI IV AP | 0.0000 | 63.0690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 17906 | PROTAMINA 1000 UI/ML 5 ML SI IV AP | 0.0000 | 16.3392 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 15016 | NITROPRUSSIATO DE SODIO 50 MG + DIL | 0.0000 | 27.3393 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 50385 | CETOPROFENO 100 MG PO IV FA | 0.0000 | 7.7768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e059645a816c79f801859032d54334d6 | MARIA | NULL | NULL | 11653454440 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3790 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3790 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.3710 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 32.9500 | 5.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 32.9500 | 5.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 77.8800 | 65.8900 | 11.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2890 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5853 | 0.2247 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7800 | 0.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 2.5600 | 2.5490 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3984 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4084 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 14.4000 | 13.2236 | 1.1764 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.4700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 54685 | POLVIDINE ALCOOLICA | 3.0000 | 2.3300 | 0.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6872 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3644 | 0.0056 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4680 | 0.3020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 2.5600 | 1.5570 | 1.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e2b2d8885fd9dc7f37264e080322c998 | MARISA | NULL | NULL | 11777424842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3732 | 0.0268 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 64113e91e37fba4a500160d46772cdd2 | ISABEL | NULL | NULL | 11789829941 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0240 | 0.4260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.0490 | 0.8510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00124 | LUVA CIRURGICA UN | 4.3400 | 3.0660 | 1.2740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2475 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 08460 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U | 0.0000 | 16.3969 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 33010358 | DOPPLER COLORIDO DE TRES OU MAIS VA | 0.0000 | 208.3785 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 15d5767e884047dd75e619035a17061a | JUSCELINO | NULL | NULL | 11861233341 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864650230 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864650230 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9645251a3636956acc690592c2f960f1 | LEVINDO | NULL | NULL | 11726008030 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.3971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857749834 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 10723 | GLICONATO DE CALCIO 100 MG/ML10ML S | 0.0000 | 5.8064 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 01546 | METARAMINOL 10 MG 1 ML SI IM SC IV | 0.0000 | 4.5060 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 17892 | NEOSTIGMINA 0,5 MG/ML 1 ML SI SC I | 0.0000 | 0.7669 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11808889232 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11808889232 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11808889232 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11808889232 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | e6dd04c2da28ee38ae6e8ba6af8296ef | MARIA | NULL | NULL | 11591043232 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.3482 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 20575 | SORO FISIOLOGICO 0,9% 1000 ML SI I | 0.0000 | 11.6780 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11804761748 | 15016 | NITROPRUSSIATO DE SODIO 50 MG + DIL | 0.0000 | 27.3393 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 9d1c7bca602feb332590a5fcfe5c579c | MARIA | NULL | NULL | 11675356830 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 11866110747 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11857118648 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11843550832 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 5985e42bab77d2517255271b22896b7f | MARIA | NULL | NULL | 11843550832 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c98a28fdb952ff1b7944a4beef97759f | VIOLETA | NULL | NULL | 11639736930 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | c98a28fdb952ff1b7944a4beef97759f | VIOLETA | NULL | NULL | 11639736930 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 11843120635 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 5f78d339d038fb23629d610318be3daa | JOAO | NULL | NULL | 11659253940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0000 | 0.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033567 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791513933 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3067 | 0.0233 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1194 | 0.1406 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6200 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6170 | 0.3830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 27.0600 | 25.4688 | 1.5912 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 60baa241f93505f2a04031ca8e747b55 | NILZA | NULL | NULL | 11829920746 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e3db448a370b8210c9ac6a3bc7b891f7 | CARLOS | NULL | NULL | 11791756440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857814941 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857814941 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2580 | 0.2520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857814941 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857814941 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1756 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7534 | 0.0066 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4650 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 18175 | Cloridrato De Vancomicina 1g Inj. | 91.2400 | 85.1600 | 6.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 18175 | Cloridrato De Vancomicina 1g Inj. | 91.2400 | 85.1600 | 6.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 18175 | Cloridrato De Vancomicina 1g Inj. | 91.2400 | 85.1600 | 6.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 18175 | Cloridrato De Vancomicina 1g Inj. | 91.2400 | 85.1500 | 6.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 141.1480 | 13.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 11831504040 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.9400 | 0.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5422 | 0.0478 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5200 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4047 | 0.4053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54687 | IODOPOVIDONA SD TP ML | 2.0000 | 0.5700 | 1.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.9800 | 0.9100 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.3432 | 0.3468 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1830 | 0.3470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11810808741 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.6000 | 0.5000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 0.3200 | 1.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e65d03f8d2bed146551f4eb213c87c8e | ALTAIRA | NULL | NULL | 11843168540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5889 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1350 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.3700 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.3700 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.3700 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5888 | 0.1012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9109 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9109 | 0.0491 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11747692341 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0e006d014a46d2f8438b80917b370c23 | MAURICIO | NULL | NULL | 11866025842 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01137 | SONDA URETRAL N 12 UN | 0.7600 | 0.7550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01137 | SONDA URETRAL N 12 UN | 0.7600 | 0.7550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1712 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1610 | 0.1390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6100 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3500 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3500 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 1.6756 | 2.0944 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.3444 | 0.5956 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 12.3000 | 1.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4387 | 0.0513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.6900 | 0.6200 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0500 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0400 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3664 | 0.0336 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7419 | 0.0681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 02177 | TENOXICAM 20 MG + DIL. 2 ML PO IM IV FA | 7.1600 | 4.7752 | 2.3848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2900 | 4.2870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 0.6750 | 0.8650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 2.9730 | 0.4270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9820 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 5.9640 | 0.8560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3207 | 0.0793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 149.8400 | 4.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00759 | FLUCONAZOL 2 MG/ML 100 ML SI IV BS | 236.5400 | 206.9680 | 29.5720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 02204 | SUPOSITORIO GLICERINA ADULTO SP VR UN | 0.8200 | 0.7500 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52216 | GLICOSE 50% 20 ML SI IV AP | 2.1400 | 0.0000 | 2.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 52216 | GLICOSE 50% 20 ML SI IV AP | 2.1400 | 0.0000 | 2.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 4.9700 | 4.9686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 7.4600 | 7.4580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.8982 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 9.3583 | 1.0217 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 35522 | POLIMIXINA B 500.000 UI PO IM IT IV FA | 389.9500 | 250.9600 | 138.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3100 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ec718bedda47fa489e1dc8795b484d95 | VANDERLI | NULL | NULL | 11781832440 | 51439 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1960 | 0.0640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b7da1d8bb152bd6a884ea9736a81f179 | CLAUDIO | NULL | NULL | 11864683741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0200 | 0.0180 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00069 | SERINGA DESC 10 ML UN | 0.3100 | 0.2992 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9800 | 4.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 35.4000 | 30.9700 | 4.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2200 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.6400 | 4.2100 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 4.2000 | 3.7000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 8.4000 | 7.4100 | 0.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 8.4000 | 7.4100 | 0.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7825 | 1.1075 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | 8.8900 | 7.7816 | 1.1084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0958 | 0.2742 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0958 | 0.2742 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0958 | 0.2742 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 01601 | SOLUÇAO DE GLICERINA 12% 500 ML SL VR FR | 4.3700 | 4.0958 | 0.2742 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.2900 | 0.2660 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 1.0800 | 0.9600 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 51662 | Simeticona frasco c/15 ml | 2.1600 | 1.9200 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 18.0000 | 16.5000 | 1.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 18.0000 | 16.5000 | 1.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3760 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b72ef62a708b19c057a8662782593b4c | MARIA | NULL | NULL | 11842505340 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3760 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8c04b019ebb10c1f9c42ed51ed9fd2ca | JOAO | NULL | NULL | 11866713741 | 51241 | AGULHA 123X45 | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11816144540 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 398ee797a41e09d75803743e3a5214f3 | SUZETE | NULL | NULL | 11723464841 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8453 | 0.6047 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00125 | LUVA CIRURGICA UN | 4.3400 | 2.5302 | 1.8098 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00558 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.5912 | 0.0788 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 965b759ba8957c745978d5ba9a6737d2 | MARTA | NULL | NULL | 11856175846 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 0.9680 | 0.1120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 32050038 | RX Tórax: P. A. | 15.7500 | 12.6040 | 3.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 32050038 | RX Tórax: P. A. | 15.7500 | 12.6020 | 3.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3051 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2810 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2810 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2810 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0640 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 549e1cdaff7e4f8d9fc39c6ef5493b01 | NELSON | NULL | NULL | 11789540147 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0640 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b945b92bb61f659e054a1df18e75e103 | HELIO | NULL | NULL | 11842803146 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | cc4bb25942299c769731f3c4e866fcaa | BENTO | NULL | NULL | 11839944240 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7664 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 11788830447 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.3058 | 2.3042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0958 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5380 | 0.4620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5380 | 0.4620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.3629 | 0.3371 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 46769ffc043be60df62b4359eac441b0 | MARIA | NULL | NULL | 11872505940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51662 | Simeticona frasco c/15 ml | 0.9000 | 0.7300 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51662 | Simeticona frasco c/15 ml | 0.9000 | 0.7400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1780 | 0.3520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1da54ba4e4cf3de0d4d119fd51ce0a68 | JOAO | NULL | NULL | 11839653145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7659 | 0.2341 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.7980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63cab735e76d9524a36b916478af0bea | MARIA | NULL | NULL | 11822657345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | aec275dd552a8d2e64c4351400b8462b | SANDRA | NULL | NULL | 11780701640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 48b7b2f130435eb9fc2fa81b0e8bbb51 | MARA | NULL | NULL | 11839876919 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | c5fa789b443f6de93a28a3ed5e91fa77 | ADAO | NULL | NULL | 11892791310 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 3ddbe0467197d67f2d3f7c602514920e | NILZA | NULL | NULL | 11886358417 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 940ca73fdcbf1b7a31e3481c3e29e35d | DORCENA | NULL | NULL | 11893369312 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | f0b4ccae572d0b65fdf78dba49a371e9 | EDUARDO | NULL | NULL | 11886963812 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 5fe5703b0e6a6557b640476ec5e09a31 | ANA | NULL | NULL | 11883214816 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 253e85d8e7de700bf4425b216ba99b17 | EURIPEDES | NULL | NULL | 11884308210 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | 17abd6535877fb8a1dfcf1a9d888e0f4 | GERALDO | NULL | NULL | 11891741717 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1030608 | b5a7da20018172519def09ca4a0b42a4 | LEONARA | NULL | NULL | 11816680016 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | ed0b943033e058ab460210bf69585f36 | MARIA | NULL | NULL | 11644796840 | 24465 | FIO MONONYLON 5-0 P C/ AGULHA 2,0 3 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7fa9e6e13b66ea4e6f66956a255f6f24 | CLEUSA | NULL | NULL | 11784342540 | 21865 | ACIDO TRANEXAMICO 50 MG/ML 5 ML SI | 0.0000 | 17.5396 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 335f5319bf8629a6efcb92037294fea8 | JOSE | NULL | NULL | 11817921849 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 1.6206 | -0.0206 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.5300 | 0.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 11893006147 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1704 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 71f631d97fa04fa5f52dca6c83a9443d | LOURDES | NULL | NULL | 11857814941 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 04b28afef23863ac641fcf4849655743 | LUCAS | NULL | NULL | 11843167749 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5836 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51379 | SERINGA DESC 05 ML UN | 0.7700 | 0.7642 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 6.3500 | 6.3500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5888 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.8000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 17.5200 | 17.5200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2592 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0200 | 0.0200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 14.4000 | 14.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 43.1900 | 43.1874 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 615f1df7bdc16e0dfc158028c2a255fb | MARIA | NULL | NULL | 11800432741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.5233 | -0.1733 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5496 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1eabfed8c7a4a587cd159530f239e061 | MARIA | NULL | NULL | 11810157748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1128 | 0.4172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11570323842 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0900 | 0.0900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5340 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.3500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | e5eaa8b55b5564ba2b177f0420e4bb1d | ROBERTO | NULL | NULL | 11779549345 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1750 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7552 | 0.2448 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7552 | 0.2448 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7552 | 0.2448 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7552 | 0.2448 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.3022 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.6044 | -0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | feb34dc3d0d7756a60469018c3d3ac34 | HILDO | NULL | NULL | 11789661349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.5000 | 1.5111 | -0.0111 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8b13279173d0211965b2d5bb1d02cb96 | CLAUDIO | NULL | NULL | 11827836545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 8abf043c59cee8f14c2853e994ee8cd9 | RITA | NULL | NULL | 11821121242 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 11815979349 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | a3710fb1d254838f72e2d7cd7e9ce32d | PEDRO | NULL | NULL | 11860480043 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 7e5fe85724d5cf9f7ab4005937eeb415 | MALGARIDA | NULL | NULL | 11782373940 | 51584 | ESPARADRAPO MICROPORE | 0.2900 | 0.1270 | 0.1630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.7700 | 0.0000 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 2106ff5e14e042394ea098063c0c1771 | JOSE | NULL | NULL | 11631880947 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 78c3f1103765fc1190289df24490a647 | IVONETE | NULL | NULL | 11777447847 | 51379 | SERINGA DESC 05 ML UN | 0.5800 | 0.5766 | 0.0034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 11.8800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 52771 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3P13T EV | 14.0700 | 14.0624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8658 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 5.7600 | 5.7600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.0422 | 0.0365 | -0.0065 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2722 | 0.1461 | 0.1139 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2722 | 0.1461 | 0.1139 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1339 | 0.1261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 63777942f18f27c55bbe6ed79fb82fdb | JORGE | NULL | NULL | 11740687340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5504 | -0.0404 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 53047 | FIO PROLENE 3-0 C/ AGULHA 2,0 1/2 9522T EV | 36.1500 | 36.1500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 53047 | FIO PROLENE 3-0 C/ AGULHA 2,0 1/2 9522T EV | 18.0800 | 18.0750 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00856 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 27.3400 | 27.3400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1212 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 11811852842 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2017-11-29 00:00:00.000000 | 1033568 | d2a77c5334898ed2bd6b1c1b87ca854e | ANNA | NULL | NULL | 11892066140 | 19496 | METILPREDNISOLONA (SUCCINATO SODICO | 0.0000 | 15.2783 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |